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General NPI Number Information
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NPI Number | 1376675496
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Entity Type | Organization
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Legal Business Name | LEONARDO LINCE MD PA
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4330 MEDICAL DR SUITE 325
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3342
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Country | US
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Telephone | 210-615-7700
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Fax | 210-615-1782
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Provider Business Mailing Address
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Address Line | 4330 MEDICAL DR SUITE 325
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3342
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Country | US
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Telephone | 210-615-7700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEONARDO LINCE
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Credential | M.D.
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Telephone | 210-615-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D6483
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License Number State | TX
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