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General NPI Number Information
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NPI Number | 1366611519
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Entity Type | Organization
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Legal Business Name | DENIS LEBLANG D.P.M.P.C.
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 388 WESTCHESTER AVE SUITE 1F
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City | PORT CHESTER
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State | NY
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Zip | 10573-3650
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Country | US
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Telephone | 914-939-4101
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Fax | 914-939-4164
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Provider Business Mailing Address
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Address Line | 388 WESTCHESTER AVE SUITE 1F
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City | PORT CHESTER
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State | NY
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Zip | 10573-3650
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Country | US
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Telephone | 914-939-4101
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Fax | 914-939-4164
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Authorized Official
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Title or Position | PODIATRIST/OWNER
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Name | DENIS LEBLANG
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Credential | D.P.M.
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Telephone | 914-939-4101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N002957
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License Number State | NY
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