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General NPI Number Information
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NPI Number | 1508862889
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Entity Type | Individual
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Provider Name | LESLIE BREITEN MD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 460 MAIN ST ONEONTA
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City | ONEONTA
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State | NY
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Zip | 13820-2027
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Country | US
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Telephone | 607-433-0277
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Fax | 607-432-1184
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Provider Business Mailing Address
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Address Line | 460 MAIN ST ONEONTA
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City | ONEONTA
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State | NY
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Zip | 13820-2027
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Country | US
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Telephone | 607-433-0277
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Fax | 607-432-1184
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 196604-1
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License Number State | NY
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