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General NPI Number Information
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NPI Number | 1134796840
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Entity Type | Organization
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Legal Business Name | LEAH EFIRD WARFORD, DDS PLLC
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 306 S ASH ST
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City | MALVERN
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State | AR
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Zip | 72104-3918
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Country | US
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Telephone | 501-332-4979
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Fax |
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Provider Business Mailing Address
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Address Line | 306 S ASH ST
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City | MALVERN
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State | AR
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Zip | 72104-3918
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Country | US
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Telephone | 501-332-4979
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | LEAH EFIRD
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Credential | DDS
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Telephone | 501-467-0740
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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 |
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License Number State |
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