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NPI Code Detail

MEDICARE: DALE LEINWEBER

MEDICARE: DALE LEINWEBER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy Technician130207TX

General Provider Information

NPI Number : 1851832133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALE LEINWEBER
Provider Business Mailing Address
First Line : 1600 JACKSON ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3248
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 JACKSON ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3248
Country : US
Telephone Number : 361-879-5976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2017
Last Update Date : 03/20/2017

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Directions to “ DALE LEINWEBER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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