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General NPI Number Information
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NPI Number | 1578731535
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Entity Type | Individual
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Provider Name | JAMES ANDREW LEGAKO D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 70 DOCTORS PARK
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4928
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Country | US
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Telephone | 573-334-6071
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Fax |
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Provider Business Mailing Address
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Address Line | 70 DOCTORS PARK
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4928
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Country | US
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Telephone | 573-335-6671
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Fax | 573-339-0083
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 5101016812
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 05-35156
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 05-35156
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2019014868
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License Number State | MO
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