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General NPI Number Information
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NPI Number | 1851362842
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Entity Type | Individual
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Provider Name | JAMES LAWRENCE LEACH MD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 04/13/2018
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Provider Practice Location Address
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Address Line | 3333 BURNET AVENUE RADIOLOGY, ML 5031
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-4225
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Fax | 513-636-2511
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Provider Business Mailing Address
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Address Line | 3333 BURNET AVENUE RADIOLOGY, ML 5031
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-4225
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Fax | 513-636-2511
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35 062742
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 35.062742
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License Number State | OH
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