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General NPI Number Information
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NPI Number | 1033318456
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Entity Type | Organization
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Legal Business Name | DRS. LEIMAN AND SIMON, PA
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 3600 GASTON AVE STE 705
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City | DALLAS
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State | TX
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Zip | 75246-1807
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Country | US
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Telephone | 214-821-0820
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Fax | 214-826-8430
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Provider Business Mailing Address
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Address Line | 3600 GASTON AVE STE 705
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City | DALLAS
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State | TX
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Zip | 75246-1807
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Country | US
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Telephone | 214-821-0820
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Fax | 214-826-8430
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HERBERT I LEIMAN
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Credential | MD
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Telephone | 214-821-0820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E3453
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D6066
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License Number State | TX
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