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General NPI Number Information
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NPI Number | 1053331710
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Entity Type | Individual
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Provider Name | LEONARD PEREZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 2005 17TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4203
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Country | US
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Telephone | 661-322-6700
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Fax | 661-322-6707
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Provider Business Mailing Address
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Address Line | 9201 LARAMIE AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93314-8106
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Country | US
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Telephone | 661-322-3700
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G521120
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License Number State | CA
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