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General NPI Number Information
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NPI Number | 1710270590
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Entity Type | Individual
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Provider Name | JARED ERIC DYE D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 2301 N WALDRON ST
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City | HUTCHINSON
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State | KS
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Zip | 67502-1133
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Country | US
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Telephone | 620-663-1141
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Fax | 620-663-1373
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Provider Business Mailing Address
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Address Line | 2301 N WALDRON ST
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City | HUTCHINSON
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State | KS
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Zip | 67502-1133
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Country | US
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Telephone | 620-663-1141
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Fax | 620-663-1373
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D1074
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License Number State | SD
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