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General NPI Number Information
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NPI Number | 1700316999
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Entity Type | Individual
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Provider Name | BRIAN LEE NAYLOR DDS
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Gender | Male
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 5785 CENTENNIAL CENTER BLVD STE 180
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City | LAS VEGAS
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State | NV
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Zip | 89149-7110
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Country | US
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Telephone | 702-395-0366
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Fax | 702-645-7433
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Provider Business Mailing Address
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Address Line | 1080 WINCHUCK RIVER RD
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City | BROOKINGS
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State | OR
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Zip | 97415-9384
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Country | US
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Telephone | 541-813-1358
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Fax | 541-813-1358
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7070
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License Number State | NV
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