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General NPI Number Information
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NPI Number | 1255137477
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Entity Type | Organization
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Legal Business Name | L. KARDOSH DDS PLLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1117 GALLAGHER DR STE 430
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City | SHERMAN
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State | TX
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Zip | 75090-3107
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Country | US
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Telephone | 903-868-0200
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Fax | 903-868-1317
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Provider Business Mailing Address
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Address Line | 1117 GALLAGHER DR STE 430
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City | SHERMAN
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State | TX
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Zip | 75090-3107
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Country | US
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Telephone | 903-868-0200
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Fax | 903-868-1317
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEEANN KARDOSH
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Credential | DDS
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Telephone | 586-909-1678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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