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General NPI Number Information
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NPI Number | 1790947208
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Entity Type | Individual
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Provider Name | DANIELLE J LECKY-CHAUDHURI MD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 656 INDEPENDENCE PKWY STE 200
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City | CHESAPEAKE
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State | VA
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Zip | 23320-5213
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Country | US
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Telephone | 757-668-5126
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Fax | 757-410-3631
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Provider Business Mailing Address
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Address Line | 656 INDEPENDENCE PKWY STE 200
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City | CHESAPEAKE
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State | VA
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Zip | 23320-5213
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Country | US
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Telephone | 757-668-5126
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Fax | 757-410-3631
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | D0076034
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101248341
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License Number State | VA
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