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General NPI Number Information
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NPI Number | 1528211802
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Entity Type | Organization
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Legal Business Name | RICHARD A. LESTER, DDS, PC
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 3208 N HIGHWAY 67
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City | FLORISSANT
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State | MO
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Zip | 63033-1646
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Country | US
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Telephone | 314-837-1945
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Fax | 314-837-1416
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Provider Business Mailing Address
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Address Line | 3208 N. HIGHWAY 67
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City | FLORISSANT
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State | MO
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Zip | 63033-1646
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Country | US
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Telephone | 314-837-1945
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Fax | 314-837-1416
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RICHARD ALLAN LESTER
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Credential | D.D.S.
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Telephone | 314-837-1945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13604
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License Number State | MO
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