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General NPI Number Information
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NPI Number | 1205885001
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Entity Type | Individual
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Provider Name | PETER LESNIEWSKI MD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 02/28/2010
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Provider Practice Location Address
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Address Line | 1650 SELWYN AVE 13E
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City | BRONX
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State | NY
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Zip | 10457-7626
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Country | US
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Telephone | 718-960-4526
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Fax | 718-466-8168
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Provider Business Mailing Address
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Address Line | 1650 GRAND CONCOURSE DEPT OF ORTHOPAEDICS
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City | BRONX
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State | NY
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Zip | 10457-7606
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Country | US
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Telephone | 718-960-4526
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Fax | 718-466-8168
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036120290
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License Number State | IL
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