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General NPI Number Information
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NPI Number | 1972126894
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Entity Type | Individual
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Provider Name | MARIE DANIELLE LEBLANC MD, FRCSC
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Gender | Female
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 3533 S ALAMEDA ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-1721
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Country | US
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Telephone | 361-694-4700
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Fax | 361-808-2156
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Provider Business Mailing Address
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Address Line | 600 E 5TH ST APT 1103
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City | DES MOINES
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State | IA
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Zip | 50309-5415
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Country | US
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Telephone | 515-805-9992
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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 | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | MD-46942
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | U5151
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License Number State | TX
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