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General NPI Number Information
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NPI Number | 1114852720
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Entity Type | Individual
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Provider Name | KASIDEE CATHRYN WELLS DDS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 11 MEADOW BRANCH AVE
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City | WINCHESTER
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State | VA
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Zip | 22601-6255
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Country | US
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Telephone | 540-698-3384
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Fax |
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Provider Business Mailing Address
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Address Line | 18560 HARMONY CHURCH RD
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City | HAMILTON
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State | VA
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Zip | 20158-3520
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Country | US
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Telephone | 316-648-0133
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 4868
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401420111
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License Number State | VA
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