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General NPI Number Information
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NPI Number | 1205008588
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Entity Type | Individual
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Provider Name | MICHAEL LEPERA DMD MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 1926 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90057-2402
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Country | US
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Telephone | 973-418-4887
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Fax |
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Provider Business Mailing Address
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Address Line | 34 KENTWOOD RD
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1406
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Country | US
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Telephone | 973-418-4887
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MD08262800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 22DI01717500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C55520
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License Number State | CA
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