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General NPI Number Information
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NPI Number | 1427106905
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Entity Type | Individual
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Provider Name | JACOB KYLE LEONE ND
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 09/23/2019
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Provider Practice Location Address
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Address Line | 1748 NOVATO BLVD SUITE 100
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City | NOVATO
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State | CA
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Zip | 94947
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Country | US
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Telephone | 415-484-1240
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Fax | 866-484-0518
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Provider Business Mailing Address
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Address Line | 448 IGNACIO BLVD # 294
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City | NOVATO
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State | CA
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Zip | 94949-6085
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Country | US
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Telephone | 415-484-1240
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Fax | 866-484-0518
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND-219
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License Number State | CA
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