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General NPI Number Information
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NPI Number | 1467095976
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Entity Type | Organization
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Legal Business Name | LEAH MCQUIGG, LLC
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 15435 GLENEAGLE DR STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-2542
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Country | US
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Telephone | 719-481-6788
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Fax |
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Provider Business Mailing Address
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Address Line | 15435 GLENEAGLE DR STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-2542
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Country | US
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Telephone | 719-481-6788
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Fax |
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Authorized Official
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Title or Position | DDS
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Name | DR. LEAH MCQUIGG
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Credential | DDS
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Telephone | 303-476-8478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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