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General NPI Number Information
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NPI Number | 1598546889
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Entity Type | Organization
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Legal Business Name | CFD LLC
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 1105 CLIFTY DR
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City | MADISON
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State | IN
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Zip | 47250-1614
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Country | US
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Telephone | 812-273-0207
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Fax |
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Provider Business Mailing Address
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Address Line | 7162 W STATE ROAD 46
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City | COLUMBUS
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State | IN
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Zip | 47201-4695
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Country | US
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Telephone | 812-447-9935
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHERINE E FERRY
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Credential | DDS, MSD
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Telephone | 812-350-4465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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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 |
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License Number State |
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