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General NPI Number Information
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NPI Number | 1821269978
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Entity Type | Organization
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Legal Business Name | RYAN ORTHODONTICS PC
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 146 COURT ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-3851
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Country | US
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Telephone | 508-746-0740
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Fax |
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Provider Business Mailing Address
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Address Line | 146 COURT ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-3851
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Country | US
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Telephone | 508-746-0740
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | TIFANY T RYAN
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Credential |
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Telephone | 508-746-0740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 1223X0400X
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License Number State | MA
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