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General NPI Number Information
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NPI Number | 1174926752
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Entity Type | Organization
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Legal Business Name | OROZCODONTICS, PC
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 8705 GERMANTOWN AVE STE A
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City | PHILADELPHIA
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State | PA
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Zip | 19118-2720
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Country | US
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Telephone | 215-220-3778
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Fax | 267-368-6031
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Provider Business Mailing Address
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Address Line | 8705 GERMANTOWN AVE STE A
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City | PHILADELPHIA
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State | PA
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Zip | 19118-2720
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Country | US
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Telephone | 215-220-3778
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Fax | 267-368-6031
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. ABBEY SULLIVAN OROZCO
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Credential | DMD
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Telephone | 215-220-3777
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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 | DS037208
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS037207
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License Number State | PA
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