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General NPI Number Information
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NPI Number | 1881114742
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Entity Type | Individual
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Provider Name | ANDREA JASMINE LEUNG MD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 5501 OLD YORK RD # 1-1616
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3018
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Country | US
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Telephone | 215-456-8261
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Fax |
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Provider Business Mailing Address
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Address Line | 206 S 13TH ST APT 1210
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5425
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Country | US
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Telephone | 814-880-1015
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MT214065
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License Number State | PA
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