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General NPI Number Information
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NPI Number | 1396533634
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Entity Type | Organization
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Legal Business Name | LEANDRO CARNEIRO DDS PLLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1339 UNION ST
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City | SCHENECTADY
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State | NY
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Zip | 12308-3007
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Country | US
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Telephone | 617-756-3903
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Fax | 518-393-1612
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Provider Business Mailing Address
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Address Line | 1339 UNION ST
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City | SCHENECTADY
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State | NY
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Zip | 12308-3007
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Country | US
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Telephone | 617-756-3903
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Fax | 518-393-1612
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Authorized Official
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Title or Position | PERIODONTIST
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Name | LEANDRO CARNEIRO
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Credential | DDS
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Telephone | 617-756-3903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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