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General NPI Number Information
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NPI Number | 1619256641
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Entity Type | Individual
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Provider Name | JENNIFER MARIE LEONARD MD
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Gender | Female
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 6720 BERTNER AVE
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City | HOUSTON
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State | TX
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Zip | 77030-2604
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Country | US
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Telephone | 823-355-2666
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Fax |
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Provider Business Mailing Address
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Address Line | 660 S EUCLID AVE MSC 8109-43-1160
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 314-747-2829
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Fax | 314-362-5743
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | V3042
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2018018521
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 2018018521
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | V3042
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License Number State | TX
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