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General NPI Number Information
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NPI Number | 1609820497
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Entity Type | Individual
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Provider Name | RONALD DAVID LECKEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 720 BLACKBURN RD
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City | SEWICKLEY
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State | PA
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Zip | 15143-1459
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Country | US
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Telephone | 412-749-7076
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Fax |
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Provider Business Mailing Address
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Address Line | 398 OLD BABCOCK TRL
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City | GIBSONIA
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State | PA
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Zip | 15044-7412
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Country | US
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Telephone | 724-444-5707
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD063252L
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License Number State | PA
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