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General NPI Number Information
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NPI Number | 1316470032
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Entity Type | Individual
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Provider Name | ERICA LEONE DDS
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Gender | Female
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 3-3359 KUHIO HWY
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City | LIHUE
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State | HI
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Zip | 96766-1061
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Country | US
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Telephone | 808-378-4869
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Fax | 808-320-3329
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Provider Business Mailing Address
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Address Line | 2721 POIPU RD APT 533
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City | KOLOA
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State | HI
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Zip | 96756-9586
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Country | US
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Telephone | 336-269-3745
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Fax | 808-320-3329
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 11282
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 11282
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 2881
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License Number State | HI
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