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General NPI Number Information
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NPI Number | 1063503696
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Entity Type | Individual
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Provider Name | JOSEPH PATRICK LEONETTI DPM
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 4045 E BELL RD STE 121
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City | PHOENIX
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State | AZ
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Zip | 85032-2238
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Country | US
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Telephone | 602-992-1120
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Fax | 602-971-5281
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Provider Business Mailing Address
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Address Line | 4045 E BELL RD STE 121
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City | PHOENIX
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State | AZ
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Zip | 85032-2238
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Country | US
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Telephone | 602-992-1120
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Fax | 602-971-5281
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DPM325
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License Number State | AZ
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