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General NPI Number Information
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NPI Number | 1902231970
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Entity Type | Organization
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Legal Business Name | LEBLANC, WILMORE, & SMITH, INC.
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 4561 EDFIELD ST STE C
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City | HOUSTON
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State | TX
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Zip | 77051-1909
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Country | US
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Telephone | 281-804-5991
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Fax | 713-733-8889
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Provider Business Mailing Address
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Address Line | 5527 GREYLOG DR
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City | HOUSTON
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State | TX
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Zip | 77048-1849
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Country | US
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Telephone | 281-546-3696
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Fax | 713-733-8889
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DOROTHY JANELL LEBLANC
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Credential |
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Telephone | 281-546-3696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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