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General NPI Number Information
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NPI Number | 1386848000
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Entity Type | Individual
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Provider Name | DARRYL LEONG MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2202 CURTIS AVE # B
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City | REDONDO BEACH
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State | CA
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Zip | 90278-2006
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Country | US
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Telephone | 310-386-0459
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Fax |
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Provider Business Mailing Address
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Address Line | 2202 CURTIS AVE # B
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City | REDONDO BEACH
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State | CA
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Zip | 90278-2006
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Country | US
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Telephone | 310-386-0459
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G83975
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | G83975
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License Number State | CA
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