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General NPI Number Information
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NPI Number | 1417747064
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Entity Type | Individual
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Provider Name | MR. LEONARD B. HARMON
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Gender | Male
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 380 SW CUTOFF RM 116
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-2126
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Country | US
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Telephone | 617-877-9779
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Fax | 617-830-9444
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Provider Business Mailing Address
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Address Line | 380 SW CUTOFF RM 116
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-2126
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Country | US
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Telephone | 617-877-9779
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Fax | 617-830-9444
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | S27564757
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License Number State | MA
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