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General NPI Number Information
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NPI Number | 1699814368
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Entity Type | Organization
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Legal Business Name | LEIGH S ENDE MD LLC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 715 STATE ROUTE 10
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City | RANDOLPH
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State | NJ
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Zip | 07869-2025
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Country | US
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Telephone | 973-366-5565
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Fax | 973-361-2308
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Provider Business Mailing Address
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Address Line | 715 STATE ROUTE 10
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City | RANDOLPH
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State | NJ
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Zip | 07869-2025
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Country | US
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Telephone | 973-366-5565
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Fax | 973-361-2308
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEIGH S ENDE
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Credential | M.D.
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Telephone | 973-366-5565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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