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General NPI Number Information
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NPI Number | 1831719954
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Entity Type | Individual
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Provider Name | MONICA DE LEON
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Gender | Female
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Dates
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Enumeration Date | 04/18/2020
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 6425 FM 1464 RD
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City | RICHMOND
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State | TX
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Zip | 77407-8287
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Country | US
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Telephone | 281-277-2242
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Fax |
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Provider Business Mailing Address
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Address Line | 695 REINERMAN ST
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City | HOUSTON
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State | TX
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Zip | 77007-5234
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Country | US
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Telephone |
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 59168
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 59168
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License Number State | TX
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