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General NPI Number Information
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NPI Number | 1235772096
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Entity Type | Organization
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Legal Business Name | AYE FAMILY DENTISTRY, INC
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 520 MAIN ST
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City | MILES CITY
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State | MT
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Zip | 59301-3019
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Country | US
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Telephone | 406-874-9637
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Fax | 406-874-0215
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Provider Business Mailing Address
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Address Line | 520 MAIN ST
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City | MILES CITY
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State | MT
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Zip | 59301-3019
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Country | US
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Telephone | 406-874-9637
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Fax | 406-874-0215
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | JOHN D AYE
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Credential | DDS
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Telephone | 406-874-9637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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