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General NPI Number Information
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NPI Number | 1487044939
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Entity Type | Organization
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Legal Business Name | FORD ORTHODONTICS, P.A.
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 1800 SE 17TH ST SUITE 500
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City | OCALA
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State | FL
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Zip | 34471-4191
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Country | US
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Telephone | 352-368-9099
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Fax | 352-368-9791
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Provider Business Mailing Address
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Address Line | 1800 SE 17TH ST SUITE 500
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City | OCALA
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State | FL
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Zip | 34471-4191
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Country | US
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Telephone | 352-368-9099
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Fax | 352-368-9791
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT E. FORD
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Credential | DMD
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Telephone | 352-368-9099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN009052
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License Number State | FL
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