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General NPI Number Information
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NPI Number | 1467014365
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Entity Type | Individual
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Provider Name | ASHTON LESLIE RICHARDS DDS
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Gender | Female
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 12/15/2019
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Provider Practice Location Address
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Address Line | 104 S STERLING AVE
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City | SUGAR CREEK
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State | MO
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Zip | 64054-1215
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Country | US
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Telephone | 816-447-7096
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Fax |
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Provider Business Mailing Address
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Address Line | 104 S STERLING AVE
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City | SUGAR CREEK
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State | MO
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Zip | 64054-1215
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Country | US
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Telephone | 816-254-6557
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Fax |
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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 | 2018019107
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 61445
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License Number State | MO
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