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General NPI Number Information
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NPI Number | 1184000630
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Entity Type | Individual
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Provider Name | ZHANAR M LEIB PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 1115 ELKTON DR STE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-3597
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Country | US
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Telephone | 719-373-9703
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Fax | 877-588-3465
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Provider Business Mailing Address
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Address Line | 1115 ELKTON DR STE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-3597
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Country | US
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Telephone | 719-373-9703
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Fax | 877-588-3465
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA0009350
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License Number State | CO
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