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General NPI Number Information
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NPI Number | 1730276635
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Entity Type | Individual
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Provider Name | DANIELLE L LEONARD DDS
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 4090 WESTOWN PKWY STE B1
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6760
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Country | US
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Telephone | 515-267-0737
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Fax | 515-267-1480
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Provider Business Mailing Address
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Address Line | 1345 E UNIVERSITY AVE #302
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City | DES MOINES
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State | IA
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Zip | 50316-2461
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Country | US
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Telephone | 515-266-0655
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS-07802
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS-07802
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DDS-07802
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License Number State | IA
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