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General NPI Number Information
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NPI Number | 1740772912
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Entity Type | Organization
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Legal Business Name | LEO EXPRESS MEDICAL CARE
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 4364 FOREST HILL BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5718
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Country | US
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Telephone | 561-508-7318
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Fax | 844-273-7007
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Provider Business Mailing Address
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Address Line | 4364 FOREST HILL BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5718
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Country | US
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Telephone | 561-508-7318
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Fax | 844-273-7007
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Authorized Official
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Title or Position | OWNER
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Name | LYONIE JOHANNA PIERRE-VERNET
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Credential | ARNP
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Telephone | 561-508-7318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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