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General NPI Number Information
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NPI Number | 1609570795
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTURES - EAST COLUMBUS, HATIM LEGHUEL, BDS, INC.
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 5980 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43213-3378
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Country | US
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Telephone | 614-453-5510
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Fax |
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Provider Business Mailing Address
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Address Line | 5980 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43213-3378
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Country | US
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Telephone | 614-453-5510
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HATIM LEGHUEL
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Credential | BDS
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Telephone | 614-453-5510
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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 |
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License Number State |
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