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General NPI Number Information
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NPI Number | 1720285463
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Entity Type | Individual
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Provider Name | DONALD LEON LEASS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17070 RED OAK DR SUITE 105
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City | HOUSTON
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State | TX
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Zip | 77090-2619
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Country | US
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Telephone | 281-444-0075
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Fax | 281-444-0265
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Provider Business Mailing Address
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Address Line | 17070 RED OAK DR SUITE 105
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City | HOUSTON
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State | TX
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Zip | 77090-2615
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Country | US
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Telephone | 281-444-0075
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Fax | 281-444-0265
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | E4884
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License Number State | TX
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