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General NPI Number Information
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NPI Number | 1093274763
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Entity Type | Organization
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Legal Business Name | LEAH M. BUTLER, DDS, LLC
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Dates
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Enumeration Date | 03/13/2019
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 16000 PEARL RD STE 10
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City | STRONGSVILLE
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State | OH
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Zip | 44136-6084
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Country | US
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Telephone | 440-238-4456
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Fax | 440-878-9127
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Provider Business Mailing Address
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Address Line | 15684 PINEWOOD DR
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City | STRONGSVILLE
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State | OH
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Zip | 44149-5623
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Country | US
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Telephone | 330-933-8705
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEAH M BUTLER
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Credential | DDS
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Telephone | 330-933-8705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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