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General NPI Number Information
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NPI Number | 1518018340
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Entity Type | Organization
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Legal Business Name | MICHAEL A. LEPORE, JR., M.D.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 1510 BREEZEPORT WAY STE 600 HARBOUR BREEZE PROFESSIONAL CENTER
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City | SUFFOLK
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State | VA
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Zip | 23435-3738
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Country | US
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Telephone | 757-686-8700
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Fax | 757-686-8006
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Provider Business Mailing Address
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Address Line | 1510 BREEZEPORT WAY STE 600 HARBOUR BREEZE PROFESSIONAL CENTER
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City | SUFFOLK
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State | VA
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Zip | 23435-3738
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Country | US
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Telephone | 757-686-8700
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Fax | 757-686-8006
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL A. LEPORE, JR.
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Credential | M.D.
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Telephone | 757-686-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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