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General NPI Number Information
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NPI Number | 1225311905
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER W. KENNERLY, D.D.S. & JEREMY W. LEDFORD, D.M.D., P.A.
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 10 YORKSHIRE ST STE C
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City | ASHEVILLE
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State | NC
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Zip | 28803-2752
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Country | US
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Telephone | 828-277-9907
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Fax | 828-277-6445
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Provider Business Mailing Address
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Address Line | 10 YORKSHIRE ST STE C
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City | ASHEVILLE
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State | NC
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Zip | 28803-2752
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Country | US
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Telephone | 828-277-9907
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Fax | 828-277-6445
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. JEREMY W LEDFORD
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Credential | DMD
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Telephone | 828-277-9907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8790
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4657
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License Number State | NC
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