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General NPI Number Information
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NPI Number | 1972403608
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Entity Type | Organization
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Legal Business Name | LEONARDO KOZIAN MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 1150 N INDIAN CANYON DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4872
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Country | US
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Telephone | 760-323-6511
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Fax |
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Provider Business Mailing Address
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Address Line | 4 LINCOLN PL
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1928
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Country | US
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Telephone | 818-736-1605
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DR. LEONARDO KOZIAN
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Credential | MD
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Telephone | 818-736-1605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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