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General NPI Number Information
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NPI Number | 1235510710
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Entity Type | Organization
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Legal Business Name | JENNIFER LEONIAK D.O., INC
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 920 DELBON AVE
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City | TURLOCK
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State | CA
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Zip | 95382-2019
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Country | US
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Telephone | 209-208-0923
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Fax | 209-748-4850
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Provider Business Mailing Address
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Address Line | PO BOX 4978
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City | MODESTO
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State | CA
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Zip | 95352-4978
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Country | US
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Telephone | 209-575-4575
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Fax | 209-575-4598
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Authorized Official
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Title or Position | MANGER
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Name | JAMIE DOLE
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Credential |
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Telephone | 209-575-4575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 13410
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License Number State | CA
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