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General NPI Number Information
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NPI Number | 1023928207
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Entity Type | Individual
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Provider Name | JOHN MICHAEL LEONARDO
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Gender | Male
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 2400 FLINT AVE
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City | SAN JOSE
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State | CA
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Zip | 95148-1719
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Country | US
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Telephone | 510-557-0374
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 W BAYSHORE RD APT 7
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City | PALO ALTO
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State | CA
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Zip | 94303-3522
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Country | US
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Telephone | 650-283-0959
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-26-534701
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License Number State | CA
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