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General NPI Number Information
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NPI Number | 1578887485
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Entity Type | Organization
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Legal Business Name | LESLIE DRAPER OD PC
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 915 MIDDLE RIVER DR STE 420
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-3561
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Country | US
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Telephone | 954-372-6822
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Fax | 954-372-6838
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Provider Business Mailing Address
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Address Line | 915 MIDDLE RIVER DR STE 420
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-3561
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Country | US
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Telephone | 954-372-6822
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Fax | 954-372-6838
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Authorized Official
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Title or Position | OPTOMETRIC PHYSICIAN/OWNER
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Name | DR. LESLIE DRAPER
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Credential | O.D.
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Telephone | 423-468-3305
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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 |
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License Number State |
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