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General NPI Number Information
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NPI Number | 1538861513
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Entity Type | Organization
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Legal Business Name | ANTHONY LEONETTI DMD PC
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 776 6TH AVE
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City | NEW YORK
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State | NY
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Zip | 10001-6354
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Country | US
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Telephone | 646-969-5632
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Fax |
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Provider Business Mailing Address
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Address Line | 49 CHAMBERS ST APT 11B
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City | NEW YORK
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State | NY
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Zip | 10007-1249
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY LEONETTI
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Credential | DMD
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Telephone | 908-770-9777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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