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General NPI Number Information
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NPI Number | 1346827888
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Entity Type | Individual
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Provider Name | SCOTT MICHAEL LEARY MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL FL 12
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City | NEW YORK
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State | NY
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Zip | 10029-6574
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Country | US
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Telephone | 305-355-8264
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Fax |
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Provider Business Mailing Address
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Address Line | 177 LUDLOW ST APT 5D
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City | NEW YORK
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State | NY
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Zip | 10002-1569
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Country | US
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Telephone | 208-292-7294
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Fax | 351-200-9331
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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 | ME165445
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License Number State | FL
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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 | 335126
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License Number State | NY
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