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General NPI Number Information
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NPI Number | 1477505238
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Entity Type | Individual
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Provider Name | PATRICK ANGELO LEONI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 9100 W 74TH ST
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City | SHAWNEE MISSION
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State | KS
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Zip | 66204-4004
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Country | US
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Telephone | 913-676-7519
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Fax | 913-789-3177
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Provider Business Mailing Address
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Address Line | 5240 CLARE RD
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City | SHAWNEE
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State | KS
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Zip | 66226-2807
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Country | US
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Telephone | 913-422-4361
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Fax | 913-789-3177
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 04-24698
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License Number State | KS
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