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General NPI Number Information
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NPI Number | 1093944241
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Entity Type | Organization
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Legal Business Name | LEANDER SMILES DENTISTRY
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 651 N US HIGHWAY 183 SUITE 150
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City | LEANDER
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State | TX
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Zip | 78641-8990
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Country | US
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Telephone | 512-260-0123
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Fax | 512-260-0110
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Provider Business Mailing Address
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Address Line | 651 N US HIGHWAY 183 SUITE 150
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City | LEANDER
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State | TX
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Zip | 78641-8990
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Country | US
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Telephone | 512-260-0123
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Fax | 512-260-0110
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Authorized Official
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Title or Position | OWNER/ DENTIST
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Name | DR. PAUL DABNEY
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Credential | D.D.S.
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Telephone | 512-260-0123
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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 | 14486
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License Number State | TX
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