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General NPI Number Information
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NPI Number | 1811222474
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Entity Type | Organization
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Legal Business Name | BEE WELL PEDIATRICS
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 3701 W ALABAMA ST SUITE 350
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City | HOUSTON
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State | TX
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Zip | 77027-5290
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Country | US
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Telephone | 713-823-9634
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 W ALABAMA ST SUITE 350
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City | HOUSTON
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State | TX
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Zip | 77027-5290
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. LARA LEONHARDT
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Credential | MD
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Telephone | 713-823-9634
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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 | M6983
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License Number State | TX
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