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General NPI Number Information
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NPI Number | 1952539074
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Entity Type | Organization
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Legal Business Name | VINNA C. NORRIS, D.D.S., P.C.
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Dates
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Enumeration Date | 06/26/2009
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 1221 E ELIZABETH ST STE 2
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City | FORT COLLINS
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State | CO
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Zip | 80524-4066
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Country | US
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Telephone | 970-221-1400
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Fax | 970-416-7778
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Provider Business Mailing Address
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Address Line | 1221 E ELIZABETH ST STE 2
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City | FORT COLLINS
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State | CO
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Zip | 80524-4066
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Country | US
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Telephone | 970-221-1400
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Fax | 970-416-7778
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VINNA C NORRIS
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Credential | D.D.S.
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Telephone | 970-556-3140
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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 |
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License Number State |
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