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General NPI Number Information
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NPI Number | 1912914680
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Entity Type | Individual
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Provider Name | JEANETTE STONE LEONARD M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 715 CLINIC DRIVE PURDUE UNIVERSITY
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City | WEST LAFAYETTE
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State | IN
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Zip | 47907
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Country | US
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Telephone | 765-490-3435
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Fax | 765-496-1227
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Provider Business Mailing Address
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Address Line | 715 CLINIC DRIVE PURDUE UNIVERSITY
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City | WEST LAFAYETTE
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State | IN
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Zip | 47907
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Country | US
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Telephone | 765-490-3435
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Fax | 765-496-1227
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 23000978
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 23000978A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22000978
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 23000978A
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License Number State | IN
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