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General NPI Number Information
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NPI Number | 1861730392
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Entity Type | Organization
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Legal Business Name | LEONARD SCHLOFMAN OD. PA.
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 1105 S. WALNUT
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City | STARKE
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State | FL
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Zip | 32091-4413
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Country | US
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Telephone | 904-964-8076
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Fax | 904-964-8107
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Provider Business Mailing Address
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Address Line | PO BOX 190 1105 S. WALNUT
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City | STARKE
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State | FL
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Zip | 32091-4413
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Country | US
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Telephone | 904-964-8076
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Fax | 904-964-8107
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Authorized Official
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Title or Position | OWNER/PRES
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Name | DR. ARTHUR LEONARD SCHLOFMAN
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Credential | OD
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Telephone | 904-964-8076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 1499
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License Number State | FL
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