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General NPI Number Information
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NPI Number | 1740386366
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Entity Type | Individual
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Provider Name | LESLIE MICHIO DOI MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 101 EAST VALENCIA MESA DRIVE
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City | FULLERTON
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State | CA
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Zip | 92835
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Country | US
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Telephone | 714-992-3978
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4505
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City | WOODLAND HILLS
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State | CA
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Zip | 91365-4505
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Country | US
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Telephone | 818-597-3800
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Fax | 818-879-8272
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G57685
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License Number State | CA
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