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General NPI Number Information
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NPI Number | 1932026614
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Entity Type | Organization
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Legal Business Name | A NEW YOU LLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 620 S. MAIN STREET
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City | BUFFALO
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State | WY
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Zip | 82834-2177
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Country | US
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Telephone | 307-684-2733
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Fax | 307-684-2437
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Provider Business Mailing Address
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Address Line | PO. BOX 126
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City | BUFFALO
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State | WY
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Zip | 82834-2117
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Country | US
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Telephone | 307-684-2733
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Fax | 307-684-2437
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Authorized Official
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Title or Position | DENTIST
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Name | MR. BRIAN JEROME COTANT
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Credential | DDS
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Telephone | 307-684-2733
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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 |
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License Number State |
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