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General NPI Number Information
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NPI Number | 1083344352
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Entity Type | Individual
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Provider Name | DR. LETICIA MARIA SARUBBI
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Gender | Female
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 345 E 24TH ST FL 8
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-998-9758
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 WASHINGTON AVE
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City | PELHAM
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State | NY
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Zip | 10803-3210
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Country | US
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Telephone | 646-204-4600
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 000161
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License Number State | NY
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