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General NPI Number Information
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NPI Number | 1790971067
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Entity Type | Organization
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Legal Business Name | LEONARD E DEAL, MD, PA
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 12446 WEST AVE STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2530
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Country | US
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Telephone | 210-656-3600
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Fax | 210-656-3603
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Provider Business Mailing Address
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Address Line | 12446 WEST AVE STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2530
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Country | US
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Telephone | 210-656-3600
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Fax | 210-656-3603
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LEONARD E DEAL
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Credential | MD
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Telephone | 210-525-1668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | L8031
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | L8031
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | L8031
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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