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General NPI Number Information
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NPI Number | 1780803619
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Entity Type | Organization
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Legal Business Name | R&R ORTHODONTICS
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 227 NORTH HAMMES AVE
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City | JOLIET
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State | IL
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Zip | 60435-8115
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Country | US
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Telephone | 815-744-2990
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Fax | 815-744-8105
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Provider Business Mailing Address
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Address Line | 227 NORTH HAMMES AVE
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City | JOLIET
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State | IL
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Zip | 60435-8115
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Country | US
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Telephone | 815-744-2990
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Fax | 815-744-8105
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Authorized Official
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Title or Position | PRESIDENT ORTHODONTIST
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Name | DR. CLARENCE JAMES RED III
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Credential | DDS MS
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Telephone | 815-744-2990
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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 | 021.001867
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License Number State | IL
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