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General NPI Number Information
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NPI Number | 1144649443
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Entity Type | Individual
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Provider Name | NATHAN TYLER CARY DDS
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Gender | Male
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 500 N MAIN ST
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1022
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Country | US
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Telephone | 585-394-3322
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Fax | 585-394-1175
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Provider Business Mailing Address
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Address Line | 875 UNION AVE
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City | MEMPHIS
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State | TN
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Zip | 38103-3513
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Country | US
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Telephone |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 059773
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License Number State | NY
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