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General NPI Number Information
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NPI Number | 1982558946
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Entity Type | Individual
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Provider Name | LAWRENCE DEAN LEIER
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Gender | Male
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 8595 20TH AVE SE
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City | HAGUE
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State | ND
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Zip | 58542-9426
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Country | US
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Telephone | 701-321-1758
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Fax | 701-336-7586
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Provider Business Mailing Address
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Address Line | 8595 20TH AVE SE
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City | HAGUE
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State | ND
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Zip | 58542-9426
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Country | US
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Telephone | 701-321-1758
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Fax | 701-336-7586
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | ND
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