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General NPI Number Information
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NPI Number | 1306135181
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Entity Type | Organization
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Legal Business Name | BILLY P. LEON M.D. INC.
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 130 W ROUTE 66 SUITE 222
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City | GLENDORA
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State | CA
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Zip | 91740-6251
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Country | US
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Telephone | 626-914-3808
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Fax | 626-914-3809
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Provider Business Mailing Address
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Address Line | 130 W ROUTE 66 SUITE 222
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City | GLENDORA
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State | CA
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Zip | 91740-6251
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Country | US
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Telephone | 626-914-3808
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Fax | 626-914-3809
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. BILLY LEON
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Credential | M.D.
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Telephone | 626-914-3808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A25675
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License Number State | CA
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