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General NPI Number Information
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NPI Number | 1912081449
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Entity Type | Individual
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Provider Name | LEONARD STEVEN OSTROFF DMD
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17301 NW 27TH AVE
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City | OPA LOCKA
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State | FL
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Zip | 33056-4001
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Country | US
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Telephone | 305-624-1371
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Fax |
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Provider Business Mailing Address
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Address Line | 8580 N LAKE DASHA DR
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City | PLANTATION
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State | FL
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Zip | 33324-3119
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Country | US
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Telephone | 954-472-6724
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN6939
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License Number State | FL
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