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General NPI Number Information
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NPI Number | 1326024704
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Entity Type | Organization
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Legal Business Name | BARRY LEONARD OD INC
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 14425 CHASE ST
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City | PANORAMA CITY
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State | CA
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Zip | 91402-3016
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Country | US
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Telephone | 818-891-6711
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Fax | 818-891-5272
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Provider Business Mailing Address
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Address Line | 14425 CHASE ST
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City | PANORAMA CITY
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State | CA
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Zip | 91402-3016
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Country | US
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Telephone | 818-891-6711
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Fax | 818-891-5272
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. BARRY W. LEONARD
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Credential | O.D.
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Telephone | 818-891-6711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7826T
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License Number State | CA
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