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General NPI Number Information
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NPI Number | 1326560921
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Entity Type | Organization
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Legal Business Name | ANDREW ROBERT GERARD LEONE PLLC
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 07/14/2017
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Provider Practice Location Address
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Address Line | 2301 SE 3RD AVE
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City | OCALA
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State | FL
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Zip | 34471-5105
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Country | US
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Telephone | 352-504-4449
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Fax |
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Provider Business Mailing Address
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Address Line | 2715 SE 25TH CT
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City | OCALA
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State | FL
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Zip | 34471-0702
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Country | US
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Telephone | 617-304-2128
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. ANDREW ROBERT GERARD LEONE
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Credential | MD
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Telephone | 617-304-2128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME132733
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License Number State | FL
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