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General NPI Number Information
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NPI Number | 1437333853
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Entity Type | Organization
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Legal Business Name | BARRY M. LEBOWITZ, O.D. , M.P.H. , LLC
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 12129 DARNESTOWN RD
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City | GAITHERSBURG
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State | MD
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Zip | 20878-2205
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Country | US
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Telephone | 240-683-6222
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Fax | 240-683-6223
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Provider Business Mailing Address
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Address Line | 12129 DARNESTOWN RD
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City | GAITHERSBURG
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State | MD
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Zip | 20878-2205
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Country | US
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Telephone | 240-683-6222
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Fax | 240-683-6223
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRY LEBOWITZ
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Credential | O.D.
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Telephone | 240-683-6222
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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 | TA1358
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License Number State | MD
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