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General NPI Number Information
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NPI Number | 1093609406
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Entity Type | Individual
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Provider Name | CHRISTIAN Y. DE LEON RN
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Gender | Male
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1300 WATERS PL
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City | BRONX
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State | NY
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Zip | 10461-2714
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Country | US
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Telephone | 718-239-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 91 VALLEY WAY
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City | WEST ORANGE
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State | NJ
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Zip | 07052-5828
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Country | US
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Telephone | 718-801-2748
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 8073912
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 807392
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License Number State | NY
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