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General NPI Number Information
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NPI Number | 1225007271
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Entity Type | Individual
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Provider Name | LEONARDO VANDO MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 507 W 145TH ST
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City | NEW YORK
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State | NY
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Zip | 10031-5101
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Country | US
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Telephone | 646-373-2753
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Fax | 212-582-0888
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Provider Business Mailing Address
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Address Line | 507 W 145 TH STREET
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City | NEW YORK
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State | NY
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Zip | 10031
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Country | US
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Telephone | 646-373-2753
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0092757
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA11148000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 25MA11148000
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 237586
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | D0092757
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2375861
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License Number State | NY
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