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General NPI Number Information
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NPI Number | 1447296025
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Entity Type | Individual
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Provider Name | ROBERT LELAND MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 4740 PEARL PKWY STE 200
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City | BOULDER
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State | CO
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Zip | 80301-3080
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Country | US
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Telephone | 303-449-2730
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Fax | 303-449-5821
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Provider Business Mailing Address
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Address Line | 3 SUPERIOR DR STE 225
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City | SUPERIOR
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State | CO
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Zip | 80027-8661
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Country | US
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Telephone | 303-665-2603
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Fax | 303-665-2605
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 39667
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DR.0039667
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License Number State | CO
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