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General NPI Number Information
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NPI Number | 1528027091
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Entity Type | Organization
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Legal Business Name | RYAN V. NOWLIN DDS, MS, PC
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5010 E. 68TH ST., SUITE 200
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-492-6464
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Fax | 918-492-3881
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Provider Business Mailing Address
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Address Line | 5010 E. 68TH ST., SUITE 200
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-492-6464
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Fax | 918-492-3881
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Authorized Official
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Title or Position | OWNER
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Name | DR. RYAN V. NOWLIN
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Credential | DDS, MS
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Telephone | 918-492-6464
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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 | 5553
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License Number State | OK
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