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General NPI Number Information
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NPI Number | 1861627499
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Entity Type | Individual
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Provider Name | JESSICA D LEITL MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 7600 W QUINCY AVE
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City | LITTLETON
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State | CO
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Zip | 80123-2403
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Country | US
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Telephone | 720-449-8062
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Fax | 303-973-1050
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Provider Business Mailing Address
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Address Line | PO BOX 6002
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City | URBANA
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State | IL
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Zip | 61803-6002
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Country | US
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Telephone | 217-383-6792
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Fax | 217-326-2856
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11014869A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME174561
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0057769
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License Number State | CO
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