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General NPI Number Information
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NPI Number | 1528608130
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Entity Type | Individual
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Provider Name | LEONARD EINSTEIN APRN, NP-C
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Gender | Male
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Dates
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Enumeration Date | 01/11/2020
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Last Update Date | 01/20/2020
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Provider Practice Location Address
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Address Line | 6267 SW 8TH ST
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City | WEST MIAMI
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State | FL
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Zip | 33144-4845
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Country | US
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Telephone | 954-655-6559
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Fax |
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Provider Business Mailing Address
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Address Line | 6445 W 24TH AVE APT 14
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City | HIALEAH
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State | FL
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Zip | 33016-3982
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Country | US
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Telephone | 954-655-6559
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11005762
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License Number State | FL
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