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General NPI Number Information
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NPI Number | 1821707548
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Entity Type | Organization
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Legal Business Name | VIRGINIA BEACH ALIGNED ORTHO PLLC
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 1369 LASKIN RD STE 3A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-6080
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Country | US
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Telephone | 757-351-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 1369 LASKIN RD STE 3A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-6080
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | DR. SARAH PAVON GROY
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Credential | DMD MS
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Telephone | 757-288-0791
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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 |
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License Number State |
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