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General NPI Number Information
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NPI Number | 1982605424
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Entity Type | Individual
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Provider Name | BRYAN W. NOYES DDS
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 2240 SW 2ND ST
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City | MCMINNVILLE
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State | OR
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Zip | 97128-5583
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Country | US
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Telephone | 503-472-4347
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Fax | 503-472-1029
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Provider Business Mailing Address
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Address Line | 2240 SW 2ND ST
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City | MCMINNVILLE
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State | OR
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Zip | 97128-5583
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Country | US
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Telephone | 503-472-4347
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Fax | 503-472-1029
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D7329
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License Number State | OR
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