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General NPI Number Information
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NPI Number | 1952320822
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Entity Type | Organization
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Legal Business Name | LEACHMAN CARDIOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 6624 FANNIN ST SUITE 2780
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City | HOUSTON
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State | TX
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Zip | 77030-2312
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Country | US
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Telephone | 713-790-9401
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Fax | 713-790-0353
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Provider Business Mailing Address
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Address Line | 6624 FANNIN ST SUITE 2780
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City | HOUSTON
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State | TX
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Zip | 77030-2312
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Country | US
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Telephone | 713-790-9401
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Fax | 713-790-0353
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEWITT RICHARD LEACHMAN
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Credential | M.D., F.A.C.C.
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Telephone | 713-790-9401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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