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General NPI Number Information
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NPI Number | 1356493233
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Entity Type | Organization
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Legal Business Name | BYRON J. ROUND, D.D.S., P.C.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 227 MAIN ST
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City | TORRINGTON
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State | CT
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Zip | 06790-5202
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Country | US
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Telephone | 860-482-3585
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Fax | 860-482-4599
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Provider Business Mailing Address
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Address Line | 227 MAIN ST
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City | TORRINGTON
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State | CT
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Zip | 06790-5202
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Country | US
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Telephone | 860-482-3585
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Fax | 860-482-4599
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Authorized Official
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Title or Position | OWNER
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Name | DR. BYRON J ROUND
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Credential | D.D.S.
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Telephone | 860-482-3585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 4398
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License Number State | CT
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