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General NPI Number Information
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NPI Number | 1427383991
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Entity Type | Individual
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Provider Name | TONI MARIE NORMAN DMD, MS
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Gender | Female
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 1108 N COURT ST
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City | MARION
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State | IL
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Zip | 62959-1612
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Country | US
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Telephone | 618-993-2872
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Fax | 618-997-7787
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Provider Business Mailing Address
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Address Line | 619 SE MAIN ST
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-3234
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Country | US
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Telephone | 864-967-9700
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Fax | 864-761-4623
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 019021260
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License Number State | IL
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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 | 021001547
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DDS09719
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 9685
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License Number State | SC
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