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General NPI Number Information
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NPI Number | 1326018912
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Entity Type | Individual
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Provider Name | ALBERTO LUIS LEON M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 36 MCNEILL PLZ
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City | WHITEVILLE
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State | NC
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Zip | 28472-8602
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Country | US
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Telephone | 910-640-4064
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Fax |
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Provider Business Mailing Address
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Address Line | 714 TALON CT
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City | EVANS
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State | GA
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Zip | 30809-4889
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Country | US
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Telephone | 904-608-0476
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Fax | 972-584-6010
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 40932
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2018-01802
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License Number State | NC
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