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General NPI Number Information
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NPI Number | 1437391570
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Entity Type | Organization
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Legal Business Name | HEATHER N. LEBLANC, M.D., PA
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 1609 WEST 40TH, STE 403
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City | PINE BLUFF
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State | AR
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Zip | 71603
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Country | US
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Telephone | 870-534-4188
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Fax | 870-534-7964
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Provider Business Mailing Address
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Address Line | 1609 WEST 40TH, STE 403
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City | PINE BLUFF
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State | AR
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Zip | 71603
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Country | US
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Telephone | 870-534-4188
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Fax | 870-534-7964
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DANNA MESSINGER
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Credential |
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Telephone | 870-534-4188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E4849
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License Number State | AR
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