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General NPI Number Information
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NPI Number | 1306906490
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Entity Type | Organization
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Legal Business Name | LEONARD M PAUL ED D P C
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7440 NEW SECOND ST
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City | ELKINS PARK
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State | PA
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Zip | 19027-3315
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Country | US
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Telephone | 215-635-3598
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Fax |
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Provider Business Mailing Address
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Address Line | 7440 NEW SECOND ST
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City | ELKINS PARK
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State | PA
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Zip | 19027-3315
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Country | US
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Telephone | 215-635-3598
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LENONARD M PAUL
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Credential | EDD
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Telephone | 215-635-3598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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