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General NPI Number Information
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NPI Number | 1568756567
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Entity Type | Individual
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Provider Name | LEAH LIMPERT RPH
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Gender | Female
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 3300 E BROAD ST
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City | MANSFIELD
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State | TX
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Zip | 76063-5629
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Country | US
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Telephone | 817-435-5418
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 ARBORS CIR
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City | MANSFIELD
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State | TX
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Zip | 76063-5400
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Country | US
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Telephone | 817-800-1002
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 34931
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License Number State | TX
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