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General NPI Number Information
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NPI Number | 1477349850
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Entity Type | Organization
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Legal Business Name | ADVANCED PLASTIC AND RECONSTRUCTIVE SURGERY CENTER PC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 405 W FOOTHILL BLVD STE 104
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City | CLAREMONT
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State | CA
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Zip | 91711-2799
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Country | US
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Telephone | 424-244-2912
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Fax |
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Provider Business Mailing Address
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Address Line | 2058 N MILLS AVE # 539
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City | CLAREMONT
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State | CA
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Zip | 91711-2812
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DARREN LEONG
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Credential | MD
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Telephone | 424-244-2912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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