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General NPI Number Information
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NPI Number | 1619611357
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Entity Type | Organization
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Legal Business Name | LEAPS & BOUNDS PEDIATRICS, PLLC
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 08/20/2023
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Provider Practice Location Address
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Address Line | 5410 114TH ST.
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-853-5233
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Fax |
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Provider Business Mailing Address
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Address Line | 5410 114TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-853-5233
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN JAMES POMEROY
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Credential | MD
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Telephone | 806-939-8385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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