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General NPI Number Information
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NPI Number | 1467574368
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Entity Type | Organization
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Legal Business Name | KIRK W. NORAIAN, D.D.S., M.S., P.C.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2020 S PHILO RD
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City | URBANA
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State | IL
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Zip | 61802-8006
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Country | US
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Telephone | 217-367-6149
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Fax | 217-367-8665
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Provider Business Mailing Address
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Address Line | 2020 S PHILO RD
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City | URBANA
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State | IL
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Zip | 61802-8006
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Country | US
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Telephone | 217-367-6149
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Fax | 217-367-8665
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Authorized Official
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Title or Position | OWNER
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Name | DR. KIRK WILLIAM NORAIAN
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Credential | D.D.S.
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Telephone | 309-663-4577
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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 |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State | IL
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