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General NPI Number Information
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NPI Number | 1023259686
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Entity Type | Individual
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Provider Name | WALTER Y LEUZINGER RPH
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Gender | Male
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 1103 W NORTH BLVD
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City | LEESBURG
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State | FL
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Zip | 34748-3949
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Country | US
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Telephone | 352-787-0593
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Fax |
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Provider Business Mailing Address
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Address Line | 6149 CR 622F
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City | BUSHNELL
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State | FL
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Zip | 33513-7996
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Country | US
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Telephone | 352-793-3754
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS0018426
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License Number State | FL
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