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General NPI Number Information
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NPI Number | 1437318599
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Entity Type | Individual
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Provider Name | ROSS STANLEY DELEONARDO JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 55 FRUIT ST
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City | BOSTON
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State | MA
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Zip | 02114-2621
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Country | US
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Telephone | 617-724-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 AMSTERDAM AVE SCRYMSER 3RD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10025-1716
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Country | US
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Telephone | 212-523-6500
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Fax | 212-523-5677
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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 | 271985
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 51245
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License Number State | CT
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