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General NPI Number Information
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NPI Number | 1235251562
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Entity Type | Individual
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Provider Name | LEIGH GILBURN D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 5435 SW US HIGHWAY 40
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City | BLUE SPRINGS
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State | MO
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Zip | 64015
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Country | US
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Telephone | 816-745-7288
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Fax |
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Provider Business Mailing Address
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Address Line | 5435 SW US HIGHWAY 40
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-6670
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Country | US
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Telephone | 816-745-7288
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 48365
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4217
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4343
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License Number State | IA
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