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General NPI Number Information
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NPI Number | 1922999689
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Entity Type | Organization
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Legal Business Name | LEONYA LLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 3298 S 3RD ST
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City | MEMPHIS
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State | TN
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Zip | 38109-2944
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Country | US
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Telephone | 901-306-4122
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Fax | 901-306-4123
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Provider Business Mailing Address
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Address Line | 2032 WELLESLEY PINE CV
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City | GERMANTOWN
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State | TN
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Zip | 38138-2667
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Country | US
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Telephone | 901-306-4122
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Fax | 901-306-4123
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALBERT NDZENGUE
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Credential | MD
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Telephone | 929-247-8205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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