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General NPI Number Information
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NPI Number | 1407083322
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Entity Type | Organization
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Legal Business Name | LESH & COMPANY PLLC
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 06/18/2009
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Provider Practice Location Address
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Address Line | 3495 WEDGEWOOD LN
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City | THE VILLAGES
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State | FL
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Zip | 32162-7184
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Country | US
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Telephone | 352-751-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 3495 WEDGEWOOD LN
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City | THE VILLAGES
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State | FL
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Zip | 32162-7184
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Country | US
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Telephone | 352-751-5777
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ROBERT DONNIE LESH
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Credential | D.M.D.
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Telephone | 352-751-5777
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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 | DN15201
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License Number State | FL
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