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General NPI Number Information
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NPI Number | 1699937730
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Entity Type | Individual
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Provider Name | LEIGH ANN GUNNELL D.M.D
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Gender | Female
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 672 MAIN ST
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City | WEST LIBERTY
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State | KY
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Zip | 41472-1018
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Country | US
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Telephone | 606-743-3030
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Fax | 606-743-7480
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Provider Business Mailing Address
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Address Line | PO BOX 690
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City | BEATTYVILLE
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State | KY
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Zip | 41311-0690
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Country | US
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Telephone | 606-464-0151
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Fax | 606-464-0152
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7909
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License Number State | KY
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