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General NPI Number Information
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NPI Number | 1740322841
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Entity Type | Individual
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Provider Name | LEYDEN E. SIANGHIO O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12349 N IH 35
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City | SAN ANTONIO
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State | TX
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Zip | 78233-3201
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Country | US
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Telephone | 210-602-9415
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Fax | 210-655-2015
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Provider Business Mailing Address
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Address Line | 13630 ASHLEY OAKS DR
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City | SAN ANTONIO
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State | TX
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Zip | 78247-3516
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Country | US
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Telephone | 210-602-9415
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Fax | 210-655-2015
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 04416T
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License Number State | TX
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