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NPI 1356631568

NPI 1356631568 : BIANCA MARIE LEONARDI M.D. : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1356631568
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    Entity Type          |    Individual 
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    Provider Name        |    BIANCA MARIE LEONARDI M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/10/2011
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    Last Update Date     |    04/30/2025
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Provider Practice Location Address
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    Address Line         |    8081 TOWNSHIP LINE RD STE 203 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46260-2189
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    Country              |    US
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    Telephone            |    317-415-8100
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    Fax                  |    317-415-7942
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Provider Business Mailing Address
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    Address Line         |    11100 EUCLID AVE 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44106-1716
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    Country              |    US
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    Telephone            |    216-844-1000
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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        |    2080N0001X
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    Taxonomy Name        |    Neonatal-Perinatal Medicine Physician
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    License Number       |    35-123359
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    2080N0001X
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    Taxonomy Name        |    Neonatal-Perinatal Medicine Physician
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    License Number       |    01095463A
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    License Number State |    IN
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