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General NPI Number Information
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NPI Number | 1073688313
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Entity Type | Organization
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Legal Business Name | DENIS LEBLANG DPM PC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 285 N ROUTE 303 15
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City | CONGERS
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State | NY
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Zip | 10920-1425
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Country | US
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Telephone | 845-268-8282
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Fax | 845-268-8298
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Provider Business Mailing Address
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Address Line | 285 N ROUTE 303 15
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City | CONGERS
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State | NY
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Zip | 10920-1425
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Country | US
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Telephone | 845-268-8282
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Fax |
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Authorized Official
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Title or Position | PODIATRIST,OWNER,CORPORATION
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Name | DR. DENIS LEBLANG
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Credential | D.P.M.
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Telephone | 845-268-8282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N002957
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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