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General NPI Number Information
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NPI Number | 1912125055
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Entity Type | Organization
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Legal Business Name | LEONARD CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 4441 LONG PRAIRIE RD 300
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1569
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Country | US
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Telephone | 972-899-2650
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Fax | 972-899-2651
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Provider Business Mailing Address
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Address Line | 4441 LONG PRAIRIE RD STE 300
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City | FLOWER MOUND
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State | TX
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Zip | 75028-5410
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Country | US
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Telephone | 972-899-2650
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Fax | 972-899-2651
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Authorized Official
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Title or Position | OWNER
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Name | DR. DALE PATRICK LEONARD
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Credential | DC
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Telephone | 972-899-2650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9365
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License Number State | TX
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