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General NPI Number Information
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NPI Number | 1578656344
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Entity Type | Individual
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Provider Name | BARNET LOUIS LELAND O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 39087 GARFIELD RD
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-2789
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Country | US
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Telephone | 586-286-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 3629 VALLEYVIEW LN
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-3363
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Country | US
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Telephone | 248-626-4189
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901002976
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License Number State | MI
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