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General NPI Number Information
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NPI Number | 1952074130
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Entity Type | Individual
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Provider Name | GEORGE RYAN SLOAN DDS, MDS
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Gender | Male
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 1601 LAKESIDE DR
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City | RENO
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State | NV
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Zip | 89509-3464
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Country | US
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Telephone | 775-323-3574
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Fax |
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Provider Business Mailing Address
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Address Line | 8263 GRAYCE DR
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City | SOUTHAVEN
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State | MS
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Zip | 38671-7052
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Country | US
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Telephone | 505-414-2889
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 7476
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License Number State | NV
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