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General NPI Number Information
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NPI Number | 1013928886
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Entity Type | Individual
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Provider Name | LEO R GERMIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 1691 WEST HORIZON RIDGE PARKWAY
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City | HENDERSON
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State | NV
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Zip | 89012-3494
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Country | US
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Telephone | 702-804-1212
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Fax | 702-804-1273
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Provider Business Mailing Address
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Address Line | PO BOX 530786
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City | HENDERSON
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State | NV
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Zip | 89053-0786
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Country | US
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Telephone | 702-804-1574
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Fax | 702-804-1222
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 7866
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License Number State | NV
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