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General NPI Number Information
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NPI Number | 1972620276
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Entity Type | Organization
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Legal Business Name | KNO-HO-CO ASHLAND C.A.C
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 1797 SEDDON CT
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City | ASHLAND
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State | OH
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Zip | 44805-3583
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Country | US
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Telephone | 419-289-4957
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Fax | 419-282-6987
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Provider Business Mailing Address
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Address Line | 1797 SEDDON CT
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City | ASHLAND
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State | OH
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Zip | 44805-3583
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Country | US
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Telephone | 419-289-4957
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Fax | 419-282-6987
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Authorized Official
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Title or Position | ASHLAND DENTAL CLINIC DIRECTOR
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Name | MRS. KATHY RENEE' BREITINGER
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Credential |
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Telephone | 419-289-4957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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