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General NPI Number Information
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NPI Number | 1073479085
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Entity Type | Individual
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Provider Name | DIANNA KAYLYNN LEBLANC CPHT
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Gender | Female
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Dates
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Enumeration Date | 01/03/2026
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 1538 HIGHWAY 190
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City | EUNICE
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State | LA
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Zip | 70535-2942
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Country | US
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Telephone | 337-504-1540
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Fax |
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Provider Business Mailing Address
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Address Line | 3430 MIRE HWY
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City | RAYNE
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State | LA
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Zip | 70578-7520
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Country | US
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Telephone | 337-504-1540
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Fax |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | CPT.015668
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License Number State | LA
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