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General NPI Number Information
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NPI Number | 1811037450
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Entity Type | Individual
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Provider Name | LEONARD S MARKS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 200 UCLA MEDICAL PLZ STE 140
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City | LOS ANGELES
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State | CA
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Zip | 90095-6835
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Country | US
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Telephone | 310-794-7152
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Fax | 310-794-1666
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5631
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Country | US
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Telephone |
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Fax | 310-559-7821
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | C34148
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | C34148
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | C34148
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License Number State | CA
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