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General NPI Number Information
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NPI Number | 1669432126
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Entity Type | Individual
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Provider Name | DANNY E LEONHARDT MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 2300 CHILDRENS PLAZA CHILDRENS MEMORIAL HOSPITAL
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City | CHICAGO
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State | IL
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Zip | 60614
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Country | US
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Telephone | 773-880-8247
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Fax | 773-281-4237
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Provider Business Mailing Address
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Address Line | 1601 W SCHOOL #413
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City | CHICAGO
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State | IL
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Zip | 60657
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Country | US
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Telephone | 773-880-8247
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Fax | 773-281-4237
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036098544
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License Number State | IL
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