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General NPI Number Information
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NPI Number | 1619035706
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Entity Type | Organization
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Legal Business Name | LEONARD P. NEUMANN JR MD A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 800 JOHNSON ST.
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City | TALLULAH
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State | LA
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Zip | 71282-4235
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Country | US
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Telephone | 318-574-4731
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Fax | 318-574-4739
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Provider Business Mailing Address
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Address Line | PO BOX 309
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City | TALLULAH
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State | LA
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Zip | 71284-0309
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Country | US
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Telephone | 318-574-4731
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Fax | 318-574-4739
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | DR. LEONARD P. NEUMANN JR.
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Credential | MD
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Telephone | 318-574-4731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 012193
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License Number State | LA
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