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General NPI Number Information
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NPI Number | 1093670267
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Entity Type | Individual
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Provider Name | IRVING LEON DC
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Gender | Male
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 12371 S 900 E STE 101
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City | DRAPER
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State | UT
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Zip | 84020-9834
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Country | US
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Telephone | 801-544-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 21306 DENIT ESTATES DR
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City | BROOKEVILLE
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State | MD
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Zip | 20833-1838
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Country | US
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Telephone | 385-207-0005
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 14261735-1202
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License Number State | UT
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