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General NPI Number Information
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NPI Number | 1548594898
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Entity Type | Organization
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Legal Business Name | FRANCESCO LETO MD LTD
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 1419 S BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-4919
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Country | US
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Telephone | 215-462-3191
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Fax | 215-755-6383
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Provider Business Mailing Address
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Address Line | 1623 N 72ND ST
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City | PHILADELPHIA
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State | PA
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Zip | 19151-2309
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Country | US
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Telephone | 215-462-3191
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Fax | 215-755-6383
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANCESCO LETO
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Credential | MD
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Telephone | 215-462-3191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD026244L
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License Number State | PA
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