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General NPI Number Information
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NPI Number | 1518033448
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Entity Type | Individual
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Provider Name | MICHAEL MARTIN LEONARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 404 LINDBERG
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-687-8488
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Fax | 956-687-2540
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Provider Business Mailing Address
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Address Line | 404 LINDBERG
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-687-8488
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Fax | 956-687-2540
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F9728
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | F9728
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License Number State | TX
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