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General NPI Number Information
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NPI Number | 1144784711
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Entity Type | Organization
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Legal Business Name | TMJ AND SLEEP THERAPY CENTRE OF KANSAS CITY
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 1236 W 103RD ST
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City | KANSAS CITY
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State | MO
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Zip | 64114-4513
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Country | US
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Telephone | 816-941-0980
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Fax | 816-941-0982
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Provider Business Mailing Address
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Address Line | 1236 W 103RD ST
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City | KANSAS CITY
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State | MO
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Zip | 64114-4513
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Country | US
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Telephone | 816-941-0980
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Fax | 816-941-0982
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Authorized Official
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Title or Position | MANAGER
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Name | DR. WILLIAM LEDFORD
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Credential | DDS
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Telephone | 816-941-0980
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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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