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General NPI Number Information
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NPI Number | 1578661971
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Entity Type | Individual
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Provider Name | ROBERT L LEPARD D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 121 W AVENUE B
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City | MULESHOE
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State | TX
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Zip | 79347-3611
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Country | US
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Telephone | 806-272-3446
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Fax | 806-272-4921
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Provider Business Mailing Address
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Address Line | 121 W AVENUE B
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City | MULESHOE
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State | TX
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Zip | 79347-3611
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Country | US
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Telephone | 806-272-3446
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Fax | 806-272-4921
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14210
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License Number State | TX
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