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General NPI Number Information
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NPI Number | 1811940067
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Entity Type | Individual
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Provider Name | KATHARINE JULIA LEPPARD M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 3470 CENTENNIAL BLVD SUITE 110
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4087
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Country | US
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Telephone | 719-575-1800
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Fax | 719-575-1850
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Provider Business Mailing Address
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Address Line | 3470 CENTENNIAL BLVD SUITE 110
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4087
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Country | US
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Telephone | 719-575-1800
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Fax | 719-575-1850
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 35343
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License Number State | CO
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