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General NPI Number Information
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NPI Number | 1235153412
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Entity Type | Individual
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Provider Name | LEONARD BRISCOE PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5201 RAYMOND ST
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City | ORLANDO
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State | FL
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Zip | 32803-8208
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Country | US
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Telephone | 407-629-1599
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Fax | 407-599-1583
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Provider Business Mailing Address
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Address Line | PO BOX 166
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City | GOLDENROD
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State | FL
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Zip | 32733-0166
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Country | US
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Telephone | 407-629-1599
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Fax | 407-599-1583
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 526
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 526
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License Number State | HI
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