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1285546028 NPI number — NATHANIEL RANDELL LEONCIO II CP

NPI Number: 1285546028
Health Care Provider/Practitioner: NATHANIEL RANDELL LEONCIO II CP

Information about “1285546028” NPI (NATHANIEL RANDELL LEONCIO II CP) exists in 1285546028 in HTML format HTML  |  1285546028 in plain Text format TXT  |  1285546028 in PDF (Portable Document Format) PDF  |  1285546028 in an XML format XML  formats.

NPI Number : 1285546028 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285546028",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEONCIO",
    "FirstName": "NATHANIEL",
    "MiddleName": "RANDELL",
    "NamePrefix": "MR.",
    "NameSuffix": "II",
    "Credential": "CP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "32520 MESA LILAC RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ESCONDIDO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92026-4404",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-775-6313",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3350 LA JOLLA VILLAGE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92161-0002",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-552-8585",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/17/2026",
    "LastUpdateDate": "09/17/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "224P00000X",
        "TaxonomyName": "Prosthetist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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