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General NPI Number Information
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NPI Number | 1497091722
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Entity Type | Organization
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Legal Business Name | RONALD C FUHRMANN
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Dates
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Enumeration Date | 12/13/2012
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 216 BUSINESS PARK DR SUITE A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6521
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Country | US
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Telephone | 757-499-8465
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Fax |
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Provider Business Mailing Address
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Address Line | 216 BUSINESS PARK DR SUITE A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6521
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Country | US
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Telephone | 757-499-8465
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RONALD CRAIG FUHRMANN
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Credential | D.D.S.
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Telephone | 757-499-8465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401006176
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License Number State | VA
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