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General NPI Number Information
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NPI Number | 1295920254
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Entity Type | Organization
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Legal Business Name | LEONARD A LADO MD PA
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 9410 FOUNTAIN MEDICAL CT STE 200
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4525
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Country | US
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Telephone | 239-948-4325
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Fax | 239-288-0574
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Provider Business Mailing Address
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Address Line | 9410 FOUNTAIN MEDICAL CT STE 200
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4525
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Country | US
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Telephone | 239-948-4325
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Fax | 239-288-0574
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEONARD A LADO
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Credential | MD
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Telephone | 239-948-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | ME84351
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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