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General NPI Number Information
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NPI Number | 1083591671
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Entity Type | Organization
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Legal Business Name | FORD ENDO, LLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2900 BLUECUTT RD STE 4
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City | COLUMBUS
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State | MS
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Zip | 39705-1470
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Country | US
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Telephone | 662-329-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 BLUECUTT RD STE 4
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City | COLUMBUS
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State | MS
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Zip | 39705-1470
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Country | US
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Telephone | 662-329-1555
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Fax |
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Authorized Official
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Title or Position | ENDODONTICS/OWNER
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Name | DR. F NORMAN FORD
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Credential | DMD
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Telephone | 662-329-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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