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General NPI Number Information
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NPI Number | 1073356036
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Entity Type | Individual
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Provider Name | CANDI JO LEDFORD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 12701 METCALF AVE SUITE 103
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City | OVERLAND PARK
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State | KS
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Zip | 66213
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Country | US
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Telephone | 913-456-3330
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Fax | 913-404-1300
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Provider Business Mailing Address
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Address Line | 12701 METCALF AVE SUITE 103
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City | OVERLAND PARK
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State | KS
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Zip | 66213
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Country | US
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Telephone | 913-456-3330
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Fax | 913-404-1300
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2024018524
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2024018524
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License Number State | MO
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