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General NPI Number Information
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NPI Number | 1154489888
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Entity Type | Individual
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Provider Name | BRUCE D. LEONARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 791 CHAMBERS RD
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City | AURORA
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State | CO
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Zip | 80011-7112
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Country | US
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Telephone | 303-617-2300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3849
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City | LITTLETON
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State | CO
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Zip | 80161-3849
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Country | US
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Telephone | 303-618-2082
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 27107
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License Number State | CO
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