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General NPI Number Information
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NPI Number | 1164439352
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Entity Type | Individual
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Provider Name | LEONARD THOMAS DINGLER MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 90 PARK RD.
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City | NOCONA
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State | TX
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Zip | 76255
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Country | US
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Telephone | 940-825-3333
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Fax | 940-825-3052
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Provider Business Mailing Address
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Address Line | P.O. BOX 30
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City | NOCONA
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State | TX
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Zip | 76255
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Country | US
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Telephone | 940-825-3333
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Fax | 940-825-3052
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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 | H3873
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 21823
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License Number State | OK
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