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General NPI Number Information
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NPI Number | 1790021459
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Entity Type | Organization
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Legal Business Name | LEBLANC & ASSOCIATES DENTISTRY FOR CHILDREN, P.A.
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Dates
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Enumeration Date | 12/27/2012
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 15151 S BLACKBOB RD
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City | OLATHE
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State | KS
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Zip | 66062-3301
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Country | US
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Telephone | 913-764-5600
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Fax | 913-747-6466
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Provider Business Mailing Address
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Address Line | 15151 S BLACKBOB RD
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City | OLATHE
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State | KS
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Zip | 66062-3301
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Country | US
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Telephone | 913-764-5600
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Fax | 913-747-6466
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | TESIA HOPKINS
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Credential |
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Telephone | 913-387-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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