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General NPI Number Information
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NPI Number | 1497707566
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Entity Type | Individual
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Provider Name | KADIE E LEACH M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 9500 ANNAPOLIS RD SUITE A1
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City | LANHAM
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State | MD
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Zip | 20706-2060
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Country | US
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Telephone | 301-577-5818
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Fax | 301-577-4120
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Provider Business Mailing Address
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Address Line | 9500 ANNAPOLIS RD SUITE A1
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City | LANHAM
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State | MD
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Zip | 20706-2060
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Country | US
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Telephone | 301-577-5818
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Fax | 301-577-4120
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0027521
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License Number State | MD
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