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General NPI Number Information
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NPI Number | 1356389241
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Entity Type | Individual
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Provider Name | DR. VINCENT DONALD LEPORE JR.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 2581 SAMARITAN DR SUITE 102
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City | SAN JOSE
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State | CA
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Zip | 95124-4113
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Country | US
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Telephone | 408-356-4241
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Fax | 408-356-4924
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Provider Business Mailing Address
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Address Line | 2581 SAMARITAN DR SUITE 102
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City | SAN JOSE
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State | CA
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Zip | 95124-4113
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Country | US
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Telephone | 408-356-4241
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Fax | 408-356-4924
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G048588
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | G048588
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | G048588
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License Number State | CA
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