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General NPI Number Information
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NPI Number | 1700233533
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Entity Type | Organization
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Legal Business Name | NAYLOR DENTAL LLC
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Dates
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Enumeration Date | 05/23/2016
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Last Update Date | 05/23/2016
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Provider Practice Location Address
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Address Line | 915 S COURT ST
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-2178
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Country | US
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Telephone | 740-334-4116
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Fax |
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Provider Business Mailing Address
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Address Line | 915 S COURT ST
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-2178
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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 | PARTNER
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Name | RYAN NAYLOR
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Credential |
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Telephone | 801-857-0291
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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 | 30.24745
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License Number State | OH
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