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General NPI Number Information
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NPI Number | 1174569099
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Entity Type | Individual
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Provider Name | LEONARD L WELDON DDS
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 272 MAIN ST
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City | KEENE
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State | NH
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Zip | 03431-4144
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Country | US
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Telephone | 603-357-3709
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Fax | 603-352-5722
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Provider Business Mailing Address
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Address Line | 250 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-2598
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Country | US
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Telephone | 603-227-7035
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Fax | 603-227-7562
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 3047
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License Number State | NH
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