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General NPI Number Information
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NPI Number | 1588758445
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Entity Type | Organization
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Legal Business Name | LEONIDAS AHUMADA, M.D.,P.A.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 11760 SW 40 ST SUITE 411
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 305-269-0609
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Fax |
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Provider Business Mailing Address
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Address Line | 13245 SW 86 TERR
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City | MIAMI
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State | FL
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Zip | 33183
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Country | US
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Telephone | 305-269-0609
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Fax |
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Authorized Official
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Title or Position | MD
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Name | LEONIDAS AHUMADA
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Credential | MD
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Telephone | 305-269-0609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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