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General NPI Number Information
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NPI Number | 1427931237
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Entity Type | Individual
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Provider Name | JOSEPH FORTKORT DDS
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 11312 US 15-1501 NORTH SUITE 107-139
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City | CHAPEL HILL
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State | NC
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Zip | 27517
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Country | US
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Telephone | 919-545-0985
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 NOVUS LN APT 526
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City | CHAPEL HILL
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State | NC
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Zip | 27514-6028
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Country | US
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Telephone | 704-530-1586
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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 | 14366
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License Number State | NC
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