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General NPI Number Information
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NPI Number | 1942595194
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Entity Type | Individual
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Provider Name | JAMES HOWARD FORD D.M.D
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Gender | Male
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 12265 N STATE RD
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City | OTISVILLE
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State | MI
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Zip | 48463-9794
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Country | US
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Telephone | 810-631-4573
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Fax |
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Provider Business Mailing Address
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Address Line | 12265 N STATE RD
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City | OTISVILLE
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State | MI
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Zip | 48463-9794
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Country | US
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Telephone | 810-631-4573
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Fax | 810-631-9600
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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 | 2901020472
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License Number State | MI
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