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General NPI Number Information
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NPI Number | 1528923794
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Entity Type | Organization
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Legal Business Name | LEENAMD LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 240 W INDIANTOWN RD STE 107
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City | JUPITER
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State | FL
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Zip | 33458-3548
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Country | US
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Telephone | 561-486-8400
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Fax | 561-486-6854
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Provider Business Mailing Address
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Address Line | 240 W INDIANTOWN RD STE 107
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City | JUPITER
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State | FL
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Zip | 33458-3548
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Country | US
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Telephone | 561-486-8400
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Fax | 561-486-6854
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | LEENA RAMANI
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Credential | MD
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Telephone | 561-486-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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