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General NPI Number Information
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NPI Number | 1831003839
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Entity Type | Organization
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Legal Business Name | CRAWFORD LEISHMAN DENTAL GROUP LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 747 E 440 N STE B
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City | VINEYARD
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State | UT
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Zip | 84059-8142
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Country | US
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Telephone | 801-225-5888
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Fax | 385-225-9345
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Provider Business Mailing Address
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Address Line | 747 E 440 N STE B
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City | VINEYARD
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State | UT
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Zip | 84059-8142
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Country | US
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Telephone | 801-225-5888
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Fax | 385-225-9345
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | RICHARD S LEISHMAN
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Credential | DDS
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Telephone | 801-225-5888
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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 |
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License Number State | NULL
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