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General NPI Number Information
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NPI Number | 1609062702
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Entity Type | Organization
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Legal Business Name | LEONARD B. ASIN, D.P.M, F.A.C.F.O. A PODIATRIC CORPORATION
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 6200 WILSHIRE BLVD #1712
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 323-938-2068
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Fax | 323-934-4111
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Provider Business Mailing Address
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Address Line | 6200 WILSHIRE BLVD #1712
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 323-938-2068
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Fax | 323-934-4111
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEONARD B ASIN
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Credential | DPM
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Telephone | 323-938-2068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | E1224
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License Number State | CA
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