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General NPI Number Information
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NPI Number | 1184812018
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Entity Type | Individual
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Provider Name | DAVID B LEARY D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 18 MEDICAL GROUP, UNIT 5268 BLDG 626, KADENA AIR BASE
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City | APO
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State | AP
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Zip | 96368-5268
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Country | US
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Telephone | 315-630-4283
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Fax |
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Provider Business Mailing Address
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Address Line | DEPARTMENT OF THE AIR FORCE 18 OMRS/CC, UNIT 5268, BLDG 626, KADENA AB, JAPAN
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City | APO
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State | AP
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Zip | 96368-5268
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 253314
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 253314
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License Number State | NY
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