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General NPI Number Information
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NPI Number | 1508245911
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Entity Type | Individual
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Provider Name | JOSHUA LEEK
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Gender | Male
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 431 SAVANNAH RD STE C
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City | LEWES
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State | DE
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Zip | 19958-1460
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Country | US
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Telephone | 302-644-4282
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Fax | 302-644-8734
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Provider Business Mailing Address
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Address Line | 235 3RD AVE N UNIT 509
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3350
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Country | US
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Telephone | 615-604-1456
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C5-0012177
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 5774
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9108643
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License Number State | FL
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