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General NPI Number Information
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NPI Number | 1003278144
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Entity Type | Individual
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Provider Name | DYLAN ESTES M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 10 NORTH ST
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City | VERGENNES
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State | VT
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Zip | 05491-1107
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Country | US
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Telephone | 802-211-3466
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Fax |
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Provider Business Mailing Address
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Address Line | 16 HOSPITAL CIR STE A
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City | BATESVILLE
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State | AR
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Zip | 72501-7343
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Country | US
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Telephone | 870-262-5545
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-12208
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 042-0017011
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License Number State | VT
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