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General NPI Number Information
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NPI Number | 1932314432
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Entity Type | Organization
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Legal Business Name | GEORGE N. BRYAN D.D.S.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3421 GRAYSTONE PL
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City | CONOVER
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State | NC
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Zip | 28613-8200
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Country | US
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Telephone | 828-328-3418
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Fax |
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Provider Business Mailing Address
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Address Line | 3421 GRAYSTONE OLACE
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City | CONOVER
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State | NC
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Zip | 28613
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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 | OWNER
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Name | GEORGE BRYAN
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Credential |
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Telephone | 828-328-3418
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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 | 4177
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License Number State | NC
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