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General NPI Number Information
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NPI Number | 1972823995
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Entity Type | Organization
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Legal Business Name | JEFFERY B KESECKER DDS PLC
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 2071 PRO POINTE LN
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City | HARRISONBURG
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State | VA
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Zip | 22801-8021
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Country | US
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Telephone | 540-437-1230
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Fax | 540-437-1218
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Provider Business Mailing Address
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Address Line | 2071 PRO POINTE LN
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City | HARRISONBURG
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State | VA
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Zip | 22801-8021
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Country | US
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Telephone | 540-437-1230
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Fax | 540-437-1218
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | BROOKE WILLIAMS
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Credential |
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Telephone | 540-437-1230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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