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General NPI Number Information
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NPI Number | 1598822140
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Entity Type | Individual
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Provider Name | LEONARD GEORGE BARMAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 8134 OLD KEENE MILL RD SUITE 300
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City | SPRINGFIELD
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State | VA
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Zip | 22152-1800
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Country | US
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Telephone | 703-451-6111
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Fax | 703-451-6247
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Provider Business Mailing Address
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Address Line | 8134 OLD KEENE MILL RD SUITE 300
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City | SPRINGFIELD
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State | VA
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Zip | 22152-1800
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Country | US
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Telephone | 703-451-6111
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Fax | 703-451-6247
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101028001
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License Number State | VA
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