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General NPI Number Information
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NPI Number | 1972523371
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Entity Type | Organization
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Legal Business Name | LEFTY DENTISTRY LLC SHERI L LEFTY DDS
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 2496 MEDINA RD
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City | MEDINA
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State | OH
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Zip | 44256-9640
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Country | US
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Telephone | 330-721-0606
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Fax | 330-721-0622
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Provider Business Mailing Address
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Address Line | 2496 MEDINA RD
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City | MEDINA
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State | OH
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Zip | 44256-9640
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Country | US
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Telephone | 330-721-0606
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Fax | 330-721-0622
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. SHERI LEFTY
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Credential | DDS
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Telephone | 330-721-0606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30-021823
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License Number State | OH
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