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General NPI Number Information
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NPI Number | 1992988232
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Entity Type | Organization
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Legal Business Name | FRANK P IUORNO JR DDS MS PC
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 12000 WYNDHAM LAKE DR SUITE C
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City | GLEN ALLEN
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State | VA
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Zip | 23059-7072
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Country | US
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Telephone | 804-364-8366
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Fax | 804-364-8346
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Provider Business Mailing Address
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Address Line | 12000 WYNDHAM LAKE DR SUITE C
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City | GLEN ALLEN
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State | VA
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Zip | 23059-7072
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Country | US
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Telephone | 804-364-8366
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Fax | 804-364-8346
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARTY JONES SMITH
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Credential |
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Telephone | 804-364-8366
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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 | 0401410390
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License Number State | VA
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