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General NPI Number Information
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NPI Number | 1538462643
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Entity Type | Individual
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Provider Name | LEONARD CHARLES SEDON JR. PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 3107 FEN WAY CT
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City | UNIONTOWN
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State | OH
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Zip | 44685-7979
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Country | US
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Telephone | 330-892-8453
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Fax |
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Provider Business Mailing Address
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Address Line | 3107 FEN WAY CT
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City | UNIONTOWN
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State | OH
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Zip | 44685-7979
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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 |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS46363
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH.03230388-2
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License Number State | OH
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