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General NPI Number Information
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NPI Number | 1700078573
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Entity Type | Organization
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Legal Business Name | ANDREW S NORMAN AND KURT M OBECK, D.D.S.
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 7229 FOREST AVE SUITE 105
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City | RICHMOND
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State | VA
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Zip | 23226-3765
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Country | US
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Telephone | 804-288-0102
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Fax | 804-282-6274
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Provider Business Mailing Address
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Address Line | 7229 FOREST AVE SUITE 105
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City | RICHMOND
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State | VA
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Zip | 23226-3765
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Country | US
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Telephone | 804-288-0102
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Fax | 804-282-6274
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHERYL A ARAUJO
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Credential |
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Telephone | 804-288-0102
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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 | 007371
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10159
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 007164
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License Number State | VA
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