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General NPI Number Information
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NPI Number | 1912149261
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Entity Type | Individual
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Provider Name | JOHN D LEEVER DO
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Gender | Male
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 2373 G. ROAD, SUITE 140 CANYON VIEW MEDICAL PLAZA
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City | GRAND JUNCTION
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State | CO
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Zip | 81505
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Country | US
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Telephone | 970-644-4345
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Fax | 970-644-4379
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Provider Business Mailing Address
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Address Line | PO BOX 308 BUSINESS OPTIONS MEDICAL BILLING
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City | MONTROSE
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State | CO
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Zip | 81402-0308
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Country | US
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Telephone | 970-765-0818
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Fax | 970-497-8410
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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 | 5333
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 5101019686
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DR.0056205
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License Number State | CO
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