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General NPI Number Information
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NPI Number | 1285840124
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Entity Type | Individual
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Provider Name | CARY HOWARD LEIZER D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 170 CHANGEBRIDGE ROAD SUITE C5-2
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City | MONTVILLE
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State | NJ
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Zip | 07045
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Country | US
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Telephone | 973-227-1132
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Fax | 973-227-3006
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Provider Business Mailing Address
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Address Line | C4 CORNWALL DR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3352
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Country | US
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Telephone | 732-238-4422
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22DI02278700
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License Number State | NJ
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