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General NPI Number Information
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NPI Number | 1912905902
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Entity Type | Individual
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Provider Name | HOLLACE D LEPPERT DO
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Gender | Female
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 3571 DEL PRADO BLVD N SUITE 2
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City | CAPE CORAL
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State | FL
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Zip | 33909-5286
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Country | US
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Telephone | 239-656-6300
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Fax | 239-656-6765
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Provider Business Mailing Address
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Address Line | 2675 WINKLER AVE FL 2
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City | FORT MYERS
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State | FL
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Zip | 33901-9342
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Country | US
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Telephone | 239-931-3440
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS8674
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License Number State | FL
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