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General NPI Number Information
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NPI Number | 1821525338
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Entity Type | Individual
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Provider Name | LEAKNA UNG DPM
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Gender | Female
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Dates
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Enumeration Date | 05/15/2017
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 680 S MAIN ST STE 102
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City | CHESHIRE
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State | CT
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Zip | 06410-3190
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Country | US
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Telephone | 203-272-3120
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Fax | 203-272-3151
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Provider Business Mailing Address
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Address Line | 2408 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-3209
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Country | US
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Telephone | 203-626-0160
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Fax | 203-294-6734
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC006833
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 07001412A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1170
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License Number State | CT
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