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General NPI Number Information
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NPI Number | 1598179277
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Entity Type | Individual
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Provider Name | LEAH HOOEY DO
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Gender | Female
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1740 E PARIS AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6204
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Country | US
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Telephone | 616-949-5600
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Fax | 616-949-6571
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Provider Business Mailing Address
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Address Line | 1740 E PARIS AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6204
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Country | US
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Telephone | 616-949-5600
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Fax | 616-949-6571
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OS16334
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 5101027178
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License Number State | MI
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