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General NPI Number Information
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NPI Number | 1245279603
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Entity Type | Individual
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Provider Name | LEONARD A SAUNDERS SR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 304 S DAUGHERTY AVE
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City | EASTLAND
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State | TX
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Zip | 76448-2609
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Country | US
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Telephone | 254-629-2601
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Fax |
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Provider Business Mailing Address
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Address Line | 6219 PINEVIEW RD
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City | DALLAS
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State | TX
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Zip | 75248-3933
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Country | US
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Telephone | 972-716-2008
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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 | K3451
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | K3451
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License Number State | TX
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