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General NPI Number Information
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NPI Number | 1477268845
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Entity Type | Organization
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Legal Business Name | LEIKER SMILES LLC
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 568 W 7TH
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City | HOISINGTON
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State | KS
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Zip | 67544-1918
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Country | US
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Telephone | 620-653-2161
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Fax |
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Provider Business Mailing Address
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Address Line | 2504 DONALD DR
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City | HAYS
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State | KS
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Zip | 67601-2211
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Country | US
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Telephone | 785-656-3132
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | ALEXYSS LEIKER
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Credential | DDS
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Telephone | 785-656-3132
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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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