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General NPI Number Information
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NPI Number | 1134068240
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Entity Type | Individual
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Provider Name | RYAN LEONBERGER NP
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Gender | Male
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 3329 W DEYOUNG ST
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City | MARION
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State | IL
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Zip | 62959-5884
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Country | US
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Telephone | 618-997-2161
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Fax | 618-998-2420
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Provider Business Mailing Address
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Address Line | PO BOX 632330
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City | CINCINNATI
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State | OH
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Zip | 45263-2330
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Country | US
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Telephone | 812-450-6815
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Fax | 812-450-6822
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041.497333
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License Number State | IL
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