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General NPI Number Information
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NPI Number | 1487962445
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Entity Type | Individual
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Provider Name | LEIGH CASABIANCA PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 5555 W THUNDERBIRD RD
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City | GLENDALE
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State | AZ
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Zip | 85306-4622
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Country | US
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Telephone | 602-588-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 SPRING RD SUITE 200
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City | OAK BROOK
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State | IL
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Zip | 60523-1804
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Country | US
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Telephone | 630-472-8800
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Fax | 630-472-9502
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4710
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License Number State | AZ
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