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General NPI Number Information
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NPI Number | 1528713039
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Entity Type | Individual
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Provider Name | DYLAN TIMOTHY SATTLER DDS
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Gender | Male
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 40 E MENDENHALL ST
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City | BOZEMAN
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State | MT
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Zip | 59715-3631
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Country | US
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Telephone | 406-404-1303
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Fax |
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Provider Business Mailing Address
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Address Line | 12207 NE 134TH ST
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City | KIRKLAND
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State | WA
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Zip | 98034-2204
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Country | US
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Telephone | 509-654-5209
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 22862
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License Number State | MT
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