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General NPI Number Information
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NPI Number | 1952033037
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Entity Type | Organization
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Legal Business Name | LEONARD W. BEESLEY, DDS
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 1111 HECLA ST
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City | HANCOCK
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State | MI
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Zip | 49930-1000
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Country | US
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Telephone | 906-482-8602
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 HECLA ST
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City | HANCOCK
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State | MI
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Zip | 49930-1000
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Country | US
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Telephone | 906-482-8602
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. LEONARD W BEESLEY
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Credential | DDS
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Telephone | 906-482-8602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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