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General NPI Number Information
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NPI Number | 1467764654
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Entity Type | Individual
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Provider Name | SHELDON LEONG
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Gender | Male
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 333 UNIVERSITY AVE STE 120
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City | SACRAMENTO
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State | CA
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Zip | 95825
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Country | US
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Telephone | 916-929-8564
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Fax |
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Provider Business Mailing Address
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Address Line | 333 UNIVERSITY AVE STE 120
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City | SACRAMENTO
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State | CA
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Zip | 95825-6532
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A129154
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A129154
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License Number State | CA
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