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General NPI Number Information
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NPI Number | 1790574143
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Entity Type | Individual
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Provider Name | DYLAN MICHAEL SCANES DDS
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Gender | Male
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 3503 CHANDLER RD
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City | MUSKOGEE
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State | OK
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Zip | 74403-4911
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Country | US
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Telephone | 918-687-3224
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Fax |
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Provider Business Mailing Address
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Address Line | 400 ALVERSON BLVD
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City | EVERETT
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State | WA
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Zip | 98201-1008
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Country | US
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Telephone | 425-231-9735
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8085
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License Number State | OK
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