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General NPI Number Information
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NPI Number | 1659296747
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Entity Type | Individual
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Provider Name | VIKA IVANOVNA LEONCHIK
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 14406 NE 20TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98686-1448
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Country | US
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Telephone | 800-813-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 505 SE 184TH AVE UNIT 228
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City | VANCOUVER
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State | WA
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Zip | 98683-1938
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Country | US
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Telephone | 971-472-5665
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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 | DEHY.DH.70143312
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License Number State | WA
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