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General NPI Number Information
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NPI Number | 1295096311
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Entity Type | Organization
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Legal Business Name | LESLIE DAVID MONROE, M.D.
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 9250 GLADES ROAD SUITE 105
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City | BOCA RATON
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State | FL
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Zip | 33434-3958
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Country | US
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Telephone | 561-483-7707
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Fax | 954-252-4311
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Provider Business Mailing Address
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Address Line | 9250 GLADES ROAD SUITE 105
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City | BOCA RATON
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State | FL
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Zip | 33434-3958
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Country | US
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Telephone | 561-483-7707
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Fax | 954-252-4311
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Authorized Official
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Title or Position | PRESIDENT
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Name | LESLIE DAVID MONROE
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Credential | M.D.
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Telephone | 561-483-7707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 33888
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License Number State | FL
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