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General NPI Number Information
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NPI Number | 1588787212
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Entity Type | Organization
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Legal Business Name | LEON SPRINGS FAMILY PRACTICE, PA
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 24165 W IH 10 SUITE 118
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1159
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Country | US
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Telephone | 210-698-7777
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Fax | 210-698-1383
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Provider Business Mailing Address
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Address Line | 24165 W IH 10 SUITE 118
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1159
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Country | US
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Telephone | 210-698-7777
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Fax | 210-698-1383
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES GREGORY GREGORY JENNINGS
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Credential | M.D.
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Telephone | 210-698-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F9953
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License Number State | TX
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