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General NPI Number Information
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NPI Number | 1720287303
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Entity Type | Individual
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Provider Name | LEON F GERARD D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 109 N US HWY 441
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City | LADY LAKE
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State | FL
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Zip | 32159-4383
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Country | US
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Telephone | 225-329-3095
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Fax |
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Provider Business Mailing Address
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Address Line | 4341 NW 53RD CT
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City | OCALA
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State | FL
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Zip | 34482-4943
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Country | US
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Telephone | 561-504-6666
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN10050
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License Number State | FL
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