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General NPI Number Information
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NPI Number | 1205158722
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Entity Type | Individual
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Provider Name | LEONARD PAUL WEISS DDS
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Gender | Male
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 3681 S. GREEN ROAD SUITE 400
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-464-7850
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Fax | 216-464-7434
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Provider Business Mailing Address
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Address Line | 3681 SOUTH GREEN ROAD SUITE 400
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-464-7850
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Fax | 216-464-7434
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12365
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License Number State | OH
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