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General NPI Number Information
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NPI Number | 1457404048
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Entity Type | Individual
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Provider Name | CHRISTOPHER GARRETT LEFEBVRE DDS
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7517 BEECHWOOD CENTRE RD
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City | AVON
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State | IN
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Zip | 46123-7852
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Country | US
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Telephone | 317-272-8100
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Fax | 317-272-0276
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Provider Business Mailing Address
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Address Line | 418 BLUE RIDGE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46208-3608
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Country | US
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Telephone | 317-927-8935
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Fax | 317-927-8935
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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 | 12010168A
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License Number State | IN
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