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General NPI Number Information
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NPI Number | 1932543915
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Entity Type | Individual
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Provider Name | KENNETH W. LEGER MD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 203 E MILLER AVE STE B
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City | IOWA
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State | LA
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Zip | 70647-4075
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Country | US
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Telephone | 337-582-7632
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Fax | 337-582-7656
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Provider Business Mailing Address
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Address Line | PO BOX 123604 DEPT 3604
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City | DALLAS
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State | TX
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Zip | 75312-3604
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Country | US
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Telephone | 337-494-2921
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Fax | 337-494-6523
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 305225
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 305225
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License Number State | LA
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