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General NPI Number Information
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NPI Number | 1679301550
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Entity Type | Individual
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Provider Name | LEAH LEONARD-KANDARAPALLY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 405 W GRAND AVE
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City | DAYTON
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State | OH
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Zip | 45405-7538
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Country | US
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Telephone | 937-723-4918
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Fax |
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Provider Business Mailing Address
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Address Line | 315 N WILKINSON ST
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City | DAYTON
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State | OH
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Zip | 45402-3063
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Country | US
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Telephone | 262-832-4226
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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 | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number | 03444395
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License Number State | OH
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