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General NPI Number Information
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NPI Number | 1649469156
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Entity Type | Organization
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Legal Business Name | LEDFORD FAMILY CARE
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Dates
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Enumeration Date | 10/21/2007
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Last Update Date | 10/21/2007
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Provider Practice Location Address
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Address Line | 2421 WINCHESTER AVE
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City | ASHLAND
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State | KY
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Zip | 41101-7835
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Country | US
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Telephone | 606-325-8485
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Fax |
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Provider Business Mailing Address
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Address Line | 2421 WINCHESTER AVE
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City | ASHLAND
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State | KY
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Zip | 41101-7835
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | DR. LOREN JAMES LEDFORD
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Credential | M.D.
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Telephone | 606-325-8485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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