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General NPI Number Information
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NPI Number | 1528564408
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Entity Type | Individual
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Provider Name | SARAH LYNN LEO DO
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Gender | Female
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Dates
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Enumeration Date | 04/01/2018
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3290 N WELLNESS DR STE 180
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City | HOLLAND
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State | MI
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Zip | 49424-8047
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Country | US
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Telephone | 616-738-4262
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Fax |
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Provider Business Mailing Address
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Address Line | 12201 HIBNER RD
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City | HARTLAND
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State | MI
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Zip | 48353-1410
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Country | US
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Telephone | 810-516-9627
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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 | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 5101027751
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 5101027751
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License Number State | MI
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