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General NPI Number Information
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NPI Number | 1346116506
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Entity Type | Individual
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Provider Name | MIA JOYCE LEONETTI
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Gender | Female
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 15614 GETTYSBURG DR
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City | TOMBALL
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State | TX
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Zip | 77377-8609
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Country | US
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Telephone | 281-357-3260
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Fax |
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Provider Business Mailing Address
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Address Line | 26700 KUYKENDAHL RD APT 1209
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City | THE WOODLANDS
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State | TX
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Zip | 77375-2775
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Country | US
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Telephone | 419-277-5699
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 44486
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License Number State | TX
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