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General NPI Number Information
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NPI Number | 1992827059
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Entity Type | Individual
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Provider Name | BRYAN A SIPES DMD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 2870 CAROL RD
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City | YORK
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State | PA
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Zip | 17402-3865
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Country | US
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Telephone | 717-755-0244
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Fax |
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Provider Business Mailing Address
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Address Line | 194 ALANTHIA LN
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City | ETTERS
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State | PA
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Zip | 17319-8933
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Country | US
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Telephone | 717-512-3733
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS035714
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License Number State | PA
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