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General NPI Number Information
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NPI Number | 1952697815
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Entity Type | Organization
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Legal Business Name | DR. DALE M. LEONHARDT DDS INC
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 585 WEST EXCHANGE STREET
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City | AKRON
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State | OH
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Zip | 44302
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Country | US
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Telephone | 330-762-8606
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Fax | 330-762-5554
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Provider Business Mailing Address
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Address Line | 585 WEST EXCHANGE STREET
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City | AKRON
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State | OH
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Zip | 44302
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Country | US
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Telephone | 330-762-8606
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Fax | 330-762-5554
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. DALE MICHAEL LEONHARDT
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Credential | D.D.S.
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Telephone | 330-762-8606
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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 | 30-01-4604
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License Number State | OH
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