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General NPI Number Information
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NPI Number | 1427941103
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Entity Type | Individual
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Provider Name | KASSIDY LEMONS DDS
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Gender | Female
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Dates
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Enumeration Date | 05/31/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 320 12TH ST
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City | HUNTINGTON
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State | WV
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Zip | 25701-1520
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Country | US
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Telephone | 304-525-8056
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Fax |
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Provider Business Mailing Address
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Address Line | 4098 WHITES CREEK RD
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City | PRICHARD
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State | WV
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Zip | 25555-8126
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Country | US
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Telephone | 304-690-6806
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4782
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License Number State | WV
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