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General NPI Number Information
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NPI Number | 1962629543
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Entity Type | Individual
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Provider Name | LEONARD K KIBUULE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 1900 NORTH LOOP W STE 670
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City | HOUSTON
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State | TX
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Zip | 77018-8119
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Country | US
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Telephone | 281-673-4360
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Fax | 281-868-7036
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Provider Business Mailing Address
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Address Line | 1900 NORTH LOOP W STE 670
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City | HOUSTON
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State | TX
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Zip | 77018-8119
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Country | US
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Telephone | 281-673-4360
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Fax | 281-868-7036
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | N0166
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License Number State | TX
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