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General NPI Number Information
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NPI Number | 1518022391
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Entity Type | Organization
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Legal Business Name | RICHARD H LEGGE MD PC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 7810 DAVENPORT ST
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City | OMAHA
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State | NE
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Zip | 68114-3629
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Country | US
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Telephone | 402-397-1626
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Fax | 402-397-1286
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Provider Business Mailing Address
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Address Line | 7810 DAVENPORT ST
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City | OMAHA
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State | NE
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Zip | 68114-3629
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Country | US
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Telephone | 402-397-1626
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Fax | 402-397-1286
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. PEGGY S AYER
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Credential |
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Telephone | 402-397-1626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 18461
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License Number State | NE
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