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General NPI Number Information
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NPI Number | 1689762015
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Entity Type | Individual
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Provider Name | DONALD LESLIE EPSTEIN MD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 1450 SOM CENTER RD #28
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124
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Country | US
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Telephone | 440-684-9500
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Fax | 440-684-1115
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Provider Business Mailing Address
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Address Line | 1450 SOM CENTER ROAD 28
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124
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Country | US
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Telephone | 440-684-9500
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Fax | 440-684-1115
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35040595
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License Number State | OH
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