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General NPI Number Information
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NPI Number | 1164576971
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Entity Type | Individual
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Provider Name | LEONARD EISNER DDS
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4251 US HIGHWAY 9
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City | FREEHOLD
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State | NJ
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Zip | 07728-8303
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Country | US
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Telephone | 732-577-1855
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Fax |
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Provider Business Mailing Address
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Address Line | 6 GARNET ST
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1015
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Country | US
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Telephone | 732-536-8507
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 14267
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License Number State | NJ
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