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General NPI Number Information
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NPI Number | 1225088537
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Entity Type | Individual
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Provider Name | LEONARDO C. CLAVIJO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 6 WOODLAND RD STE 304
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City | SAINT HELENA
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State | CA
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Zip | 94574-9562
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Country | US
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Telephone | 707-963-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 6 WOODLAND RD STE 304
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City | SAINT HELENA
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State | CA
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Zip | 94574-9562
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Country | US
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Telephone | 805-782-8844
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Fax | 805-782-8859
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | A93873
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A93873
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License Number State | CA
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