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General NPI Number Information
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NPI Number | 1538160460
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Entity Type | Individual
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Provider Name | MICHAEL R. LEACHMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 101 W 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-2307
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Country | US
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Telephone | 509-474-3131
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31001-4114
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City | PASADENA
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State | CA
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Zip | 91110-4114
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Country | US
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Telephone | 866-747-2455
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Fax | 509-944-9644
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD00038740
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License Number State | WA
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