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General NPI Number Information
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NPI Number | 1992793533
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Entity Type | Individual
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Provider Name | JAMES SAMUEL LEONARD D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 1095 COMMONS AVE
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City | CORTLAND
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State | NY
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Zip | 13045-1669
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Country | US
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Telephone | 607-756-5422
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Fax | 607-756-5488
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Provider Business Mailing Address
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Address Line | 1 GUTHRIE SQ
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City | SAYRE
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State | PA
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Zip | 18840-1625
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Country | US
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Telephone | 570-888-5858
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Fax |
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | N004037-1
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License Number State | NY
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