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General NPI Number Information
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NPI Number | 1083618540
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Entity Type | Individual
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Provider Name | RONALD PAUL LEEMHUIS MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2005
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 227 W 22ND ST
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City | ERIE
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State | PA
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Zip | 16502-2614
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Country | US
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Telephone | 814-456-2003
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Fax | 814-456-4098
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Provider Business Mailing Address
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Address Line | 4601 BASSWOOD DR
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City | ERIE
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State | PA
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Zip | 16506-1553
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Country | US
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Telephone | 814-456-2003
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Fax | 814-456-4098
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD022978-E
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License Number State | PA
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