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General NPI Number Information
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NPI Number | 1659752285
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Entity Type | Individual
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Provider Name | LEO E BAY DO
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Gender | Male
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 1615 MAPLE LN STE 1
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City | ASHLAND
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State | WI
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Zip | 54806-3630
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Country | US
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Telephone | 715-685-7500
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Fax | 715-682-2481
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Provider Business Mailing Address
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Address Line | ESSENTIA HEALTH ASHLAND CLINIC 1615 MAPLE LANE, STE 1
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City | ASHLAND
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State | WI
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Zip | 54806-3610
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Country | US
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Telephone | 715-685-7500
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP60849062
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 125067524
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 64415
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 69013-21
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License Number State | WI
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