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General NPI Number Information
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NPI Number | 1790114684
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Entity Type | Individual
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Provider Name | LEONARD JULIUS MIZRAHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 930 TRUXTUN AVE 213
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4700
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Country | US
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Telephone | 760-937-7191
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Fax |
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Provider Business Mailing Address
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Address Line | 930 TRUXTUN AVE 213
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4700
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Country | US
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Telephone | 760-937-7191
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | AFE21733
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License Number State | CA
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