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General NPI Number Information
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NPI Number | 1437408630
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Entity Type | Individual
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Provider Name | MARK ALLAN VORHIES D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/04/2012
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 1678 FRY ROAD SUITE A
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City | GREENWOOD
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State | IN
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Zip | 46142-1175
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Country | US
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Telephone | 317-887-1288
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Fax | 317-889-2515
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Provider Business Mailing Address
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Address Line | 1678 FRY RD. SUITE A
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City | GREENWOOD
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State | IN
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Zip | 46142-1175
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Country | US
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Telephone | 317-887-1288
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Fax | 317-889-2515
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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 | 7743
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License Number State | IN
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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 | 12007743
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License Number State | IN
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