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General NPI Number Information
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NPI Number | 1740816552
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Entity Type | Individual
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Provider Name | DREW LEGGETT PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/13/2020
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 3070 SKYWAY DR STE 106
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City | SANTA MARIA
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State | CA
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Zip | 93455-1830
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Country | US
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Telephone | 805-922-8282
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Fax | 805-925-2690
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Provider Business Mailing Address
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Address Line | 3070 SKYWAY DR STE 106
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City | SANTA MARIA
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State | CA
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Zip | 93455-1830
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Country | US
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Telephone | 805-922-8282
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Fax | 805-925-2690
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 57822
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License Number State | CA
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