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General NPI Number Information
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NPI Number | 1467625350
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Entity Type | Organization
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Legal Business Name | DRS. DILORENZO & HRECHKA, PA
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 6130 OXON HILL RD SUITE 304
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City | OXON HILL
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State | MD
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Zip | 20745-3103
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Country | US
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Telephone | 301-839-2500
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Fax | 301-749-7236
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Provider Business Mailing Address
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Address Line | 6130 OXON HILL RD SUITE 304
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City | OXON HILL
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State | MD
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Zip | 20745-3103
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Country | US
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Telephone | 301-839-2500
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Fax | 301-749-7236
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | KENNETH M. HRECHKA
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Credential | DDS
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Telephone | 301-839-2500
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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 | 5339
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License Number State | MD
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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 | 7341
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License Number State | MD
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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 | 6952
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License Number State | MD
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