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General NPI Number Information
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NPI Number | 1275482614
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Entity Type | Individual
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Provider Name | LESLEY PIERCE RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 3420 BASSWOOD BLVD STE 130
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City | FORT WORTH
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State | TX
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Zip | 76137-1467
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Country | US
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Telephone | 303-960-2422
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Fax |
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Provider Business Mailing Address
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Address Line | 6206 CALUMET RD
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City | AMARILLO
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State | TX
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Zip | 79106-3516
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Country | US
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Telephone | 806-676-3385
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 821454
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License Number State | TX
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