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General NPI Number Information
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NPI Number | 1538242540
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Entity Type | Individual
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Provider Name | MICHAEL DAVID LEU N.D.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 2965 PARADISE BAY RD
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City | PORT LUDLOW
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State | WA
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Zip | 98365-8739
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Country | US
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Telephone | 206-890-6233
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Fax | 206-257-3122
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Provider Business Mailing Address
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Address Line | 407 W A ST
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City | JENKS
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State | OK
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Zip | 74037-3718
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Country | US
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Telephone | 919-298-9300
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Fax | 918-298-9305
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 9532
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT00000715
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License Number State | WA
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