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General NPI Number Information
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NPI Number | 1841527504
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Entity Type | Individual
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Provider Name | CHADWICK LEO D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 512 6TH AVE W
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-3558
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Country | US
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Telephone | 828-696-0897
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Fax | 828-692-2146
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Provider Business Mailing Address
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Address Line | P.O. BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-424-2060
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Fax | 239-424-2061
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2023-03313
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS12755
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License Number State | FL
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