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General NPI Number Information
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NPI Number | 1780602052
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Entity Type | Individual
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Provider Name | LEONARD J LYON PA
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 400 OLD HOOK RD
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City | WESTWOOD
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State | NJ
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Zip | 07675-2732
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Country | US
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Telephone | 201-391-1078
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Fax | 201-391-5388
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Provider Business Mailing Address
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Address Line | 43 SADDLE RANCH LN
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City | HILLSDALE
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State | NJ
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Zip | 07642-1318
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Country | US
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Telephone | 201-391-1078
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Fax | 201-391-5388
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MA21990
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License Number State | NJ
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