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General NPI Number Information
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NPI Number | 1487945630
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Entity Type | Individual
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Provider Name | GUY K SLANN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 01/23/2016
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Provider Practice Location Address
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Address Line | 3 4TH ST E SUITE 102
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City | WILLISTON
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State | ND
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Zip | 58801-5350
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Country | US
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Telephone | 701-572-4094
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Fax | 866-851-5712
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Provider Business Mailing Address
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Address Line | 3 4TH ST E SUITE 102
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City | WILLISTON
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State | ND
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Zip | 58801-5350
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Country | US
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Telephone | 701-572-4094
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Fax | 866-851-5712
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 66
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License Number State | ND
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