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General NPI Number Information
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NPI Number | 1528373180
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Entity Type | Organization
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Legal Business Name | VROMAN ORTHODONTICS, P.C.
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Dates
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Enumeration Date | 08/07/2010
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Last Update Date | 08/07/2010
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Provider Practice Location Address
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Address Line | 2131 1ST STREET A
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City | MOLINE
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State | IL
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Zip | 61265-7745
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Country | US
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Telephone | 309-797-0106
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Fax | 309-797-0180
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Provider Business Mailing Address
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Address Line | 2131 1ST STREET A
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City | MOLINE
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State | IL
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Zip | 61265-7745
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Country | US
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Telephone | 309-797-0106
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Fax | 309-797-0180
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | DR. MAURA J VROMAN
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Credential | D.D.S., M.S.
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Telephone | 309-797-0106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 08686
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 019028210
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License Number State | IL
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