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General NPI Number Information
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NPI Number | 1033447065
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Entity Type | Organization
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Legal Business Name | ALAN C LESHNOWER MD, PA
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 1220 W UNIVERSITY BLVD
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City | ODESSA
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State | TX
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Zip | 79764-7118
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Country | US
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Telephone | 432-332-6600
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Fax | 866-730-6998
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Provider Business Mailing Address
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Address Line | 1220 W UNIVERSITY BLVD
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City | ODESSA
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State | TX
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Zip | 79764-7118
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Country | US
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Telephone | 432-332-6600
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Fax | 866-673-0699
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN C LESHNOWER
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Credential | MD
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Telephone | 432-332-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | G0756
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License Number State | TX
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