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General NPI Number Information
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NPI Number | 1427308675
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Entity Type | Organization
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Legal Business Name | DENNIS LEUNG, O.D. PLLC
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 1005 BLALOCK RD # I
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City | HOUSTON
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State | TX
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Zip | 77055-7441
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Country | US
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Telephone | 713-467-8818
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Fax | 713-467-8816
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Provider Business Mailing Address
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Address Line | 1005 BLALOCK RD # I
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City | HOUSTON
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State | TX
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Zip | 77055-7441
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Country | US
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Telephone | 713-467-8818
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Fax | 713-467-8816
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Authorized Official
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Title or Position | CREDENTIALING SERVICES
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Name | MRS. JENNIFER POT
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Credential |
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Telephone | 626-737-7319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7699
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License Number State | TX
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