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General NPI Number Information
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NPI Number | 1962897066
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Entity Type | Organization
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Legal Business Name | TOM K LEONARD MD PA
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 404 S CHILDS ST
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City | LEESBURG
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State | FL
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Zip | 34748-5958
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Country | US
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Telephone | 352-323-3232
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Fax |
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Provider Business Mailing Address
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Address Line | 3665 EMBASSY CIR
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City | PALM HARBOR
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State | FL
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Zip | 34685-1017
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Country | US
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Telephone | 727-501-4242
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | TOM K LEONARD
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Credential | M.D.
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Telephone | 727-501-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME 73798
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License Number State | FL
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