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General NPI Number Information
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NPI Number | 1972034916
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Entity Type | Individual
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Provider Name | LESLIE MCFANN PEARD MD
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Gender | Female
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 740 S LIMESTONE STE J201
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-257-3533
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Fax | 859-257-6024
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Provider Business Mailing Address
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Address Line | 800 ROSE ST RM MN-283
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City | LEXINGTON
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State | KY
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Zip | 40536-0293
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Country | US
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Telephone | 859-323-5057
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Fax | 859-257-6024
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | R4571
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | 59714
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License Number State | KY
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