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General NPI Number Information
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NPI Number | 1982743589
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Entity Type | Individual
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Provider Name | ORLANDO ENRIQUE LEIVA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 6230 SW 70TH ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143
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Country | US
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Telephone | 305-284-7734
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Fax | 305-284-7759
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Provider Business Mailing Address
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Address Line | 14990 SW 43RD ST
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City | MIAMI
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State | FL
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Zip | 33185-4381
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Country | US
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Telephone | 305-323-1812
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Fax | 305-229-2844
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN 366
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ACN366
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License Number State | FL
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