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General NPI Number Information
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NPI Number | 1336002476
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Entity Type | Individual
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Provider Name | PAUL LEONARD
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Gender | Male
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 601 HIGHWAY 6 W
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City | IOWA CITY
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State | IA
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Zip | 52246-2209
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Country | US
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Telephone | 319-338-0581
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Fax |
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Provider Business Mailing Address
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Address Line | 412 1ST ST E APT 10
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City | INDEPENDENCE
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State | IA
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Zip | 50644-2902
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Country | US
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Telephone | 319-338-0581
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 153856
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License Number State | IA
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