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General NPI Number Information
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NPI Number | 1083850226
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Entity Type | Organization
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Legal Business Name | L AND L CONSULTING SERVICES, INC.
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Dates
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Enumeration Date | 12/17/2008
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 6420 MAPLE RIDGE LN
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City | BLANCHARD
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State | OK
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Zip | 73010-2905
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Country | US
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Telephone | 405-387-3983
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Fax | 405-387-3983
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Provider Business Mailing Address
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Address Line | 6420 MAPLE RIDGE LN
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City | BLANCHARD
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State | OK
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Zip | 73010-2905
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Country | US
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Telephone | 405-387-3983
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Fax | 405-387-3983
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Authorized Official
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Title or Position | OWNER
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Name | MS. DEBORAH C LEONARD
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Credential | RD/LD
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Telephone | 405-387-3983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 711
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License Number State | OK
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