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General NPI Number Information
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NPI Number | 1093159634
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Entity Type | Individual
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Provider Name | VIRGINIA ANN SMITH-BRONSTEIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 899 NORTHGATE DR STE 110
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3664
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Country | US
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Telephone | 415-362-5443
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Fax |
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Provider Business Mailing Address
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Address Line | 11 SALT CREEK LN STE 101
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City | HINSDALE
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State | IL
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Zip | 60521-3032
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Country | US
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Telephone | 630-789-3110
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 036148473
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | C207094
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 81253
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License Number State | MN
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