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General NPI Number Information
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NPI Number | 1437463676
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Entity Type | Organization
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Legal Business Name | LEON M BERNSTEIN MD PC
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 11313 76TH RD
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City | FOREST HILLS
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State | NY
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Zip | 11375-6528
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Country | US
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Telephone | 718-261-6853
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Fax | 718-268-4712
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Provider Business Mailing Address
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Address Line | PO BOX 751003
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City | FOREST HILLS
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State | NY
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Zip | 11375-8603
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Country | US
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Telephone | 718-261-6853
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Fax | 718-268-4712
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEON MAX BERNSTEIN
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Credential | MD
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Telephone | 718-261-6853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 112700
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License Number State | NY
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