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General NPI Number Information
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NPI Number | 1659252070
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Entity Type | Individual
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Provider Name | LEENA HAIDAR
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Gender | Female
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 253 BOSTON ST
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City | TOPSFIELD
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State | MA
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Zip | 01983-2215
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Country | US
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Telephone | 978-887-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 8614 WESTWOOD CENTER DR FL 9
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City | VIENNA
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State | VA
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Zip | 22182-2442
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Country | US
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Telephone |
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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 | OPT8355
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License Number State | MA
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