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General NPI Number Information
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NPI Number | 1346678893
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Entity Type | Organization
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Legal Business Name | LEGENDS OBGYN LLC
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Dates
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Enumeration Date | 10/18/2013
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 11879 W 112TH ST STE 300
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City | OVERLAND PARK
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State | KS
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Zip | 66210-4101
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Country | US
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Telephone | 913-334-2880
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Fax | 913-334-2898
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Provider Business Mailing Address
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Address Line | 11879 W 112TH ST STE 300
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City | OVERLAND PARK
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State | KS
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Zip | 66210-4101
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Country | US
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Telephone | 913-334-2880
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Fax | 913-334-2898
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DONALD PEGHEE JR.
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Credential | MD
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Telephone | 913-334-2880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0432139
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License Number State | KS
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