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General NPI Number Information
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NPI Number | 1780680710
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Entity Type | Organization
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Legal Business Name | LEBLANC WOMEN'S CLINIC, LLC
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3807 PRESCOTT RD
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3732
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Country | US
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Telephone | 318-561-6774
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Fax | 318-561-6764
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Provider Business Mailing Address
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Address Line | 3807 PRESCOTT RD
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3732
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Country | US
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Telephone | 318-561-6774
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Fax | 318-561-6764
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALLEN JAMES LEBLANC JR.
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Credential | M.D., PH.D.
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Telephone | 318-561-6774
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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 | 14403R
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License Number State | LA
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