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General NPI Number Information
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NPI Number | 1881662690
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Entity Type | Individual
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Provider Name | HENRY LEUNG D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 24801 ALICIA PKWY SUITE C
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-4654
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Country | US
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Telephone | 949-425-0321
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Fax | 949-425-1204
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Provider Business Mailing Address
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Address Line | 24801 ALICIA PKWY SUITE C
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-4654
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Country | US
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Telephone | 949-425-0321
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Fax | 949-425-1204
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A8730
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License Number State | CA
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