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General NPI Number Information
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NPI Number | 1861617912
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Entity Type | Organization
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Legal Business Name | LEPLEY PEDIATRICS
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 809 SW 89TH ST STE. B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-9300
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Country | US
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Telephone | 405-631-4000
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Fax | 405-631-4404
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Provider Business Mailing Address
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Address Line | 809 SW 89TH ST STE. B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-9300
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Country | US
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Telephone | 405-631-4000
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Fax | 405-631-4404
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. BRIAN K LEPLEY
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Credential | D.O.
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Telephone | 405-631-4000
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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 | 2247
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License Number State | OK
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