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General NPI Number Information
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NPI Number | 1538211404
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Entity Type | Individual
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Provider Name | LEANDER LANIER D.D.S..
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 2609 SHEFFIELD DRIVE
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City | BLACKSBURG
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State | VA
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Zip | 24060-6669
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Country | US
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Telephone | 540-552-0101
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Fax | 540-552-0290
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Provider Business Mailing Address
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Address Line | 2609 SHEFFIELD DR
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City | BLACKSBURG
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State | VA
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Zip | 24060-8271
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Country | US
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Telephone | 540-552-0101
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Fax | 540-552-0290
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 401410660
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License Number State | VA
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