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General NPI Number Information
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NPI Number | 1518832054
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Entity Type | Individual
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Provider Name | STACI SHANE LENEAR-CARVER RDH
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1055 E STEWART AVE BLDG 2018
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City | COLORADO SPRINGS
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State | CO
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Zip | 80914-2900
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Country | US
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Telephone | 719-556-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 6031 MEADOWBANK LN
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City | COLORADO SPRINGS
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State | CO
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Zip | 80925-1417
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Country | US
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Telephone | 864-612-6201
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH28604
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License Number State | FL
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