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General NPI Number Information
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NPI Number | 1043281892
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Entity Type | Individual
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Provider Name | LANI LEIGH HOSHAW DDS
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 6270 W MAIN ST SUITE A
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City | EAU CLAIRE
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State | MI
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Zip | 49111-9480
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Country | US
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Telephone | 269-461-6927
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Fax | 269-461-3068
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Provider Business Mailing Address
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Address Line | 1335 GUSDORF RD SUITE A
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City | TAOS
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State | NM
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Zip | 87571-5204
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Country | US
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Telephone | 505-751-9333
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Fax | 505-737-0483
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DD2176
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License Number State | NM
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