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General NPI Number Information
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NPI Number | 1861612020
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Entity Type | Individual
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Provider Name | LEONARD WAYNE NAFTALIN DDS
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Gender | Male
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 9911 W PICO BLVD STE 1450
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City | LOS ANGELES
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State | CA
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Zip | 90035-2713
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Country | US
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Telephone | 310-795-5027
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Fax |
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Provider Business Mailing Address
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Address Line | 6323 ESPLANADE
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City | PLAYA DEL REY
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State | CA
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Zip | 90293-7581
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Country | US
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Telephone | 310-795-5027
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Fax | 310-578-1647
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 45501
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License Number State | CA
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