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General NPI Number Information
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NPI Number | 1376761031
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Entity Type | Organization
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Legal Business Name | D.G. & LEEDS, INC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7655 S ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32809-6903
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Country | US
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Telephone | 407-852-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 3403 TECHNOLOGICAL AVE SUITE # 4
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City | ORLANDO
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State | FL
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Zip | 32817-1476
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Country | US
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Telephone | 407-770-1444
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JUNAID KHAN
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Credential |
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Telephone | 407-770-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | HCC4398
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License Number State | FL
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