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General NPI Number Information
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NPI Number | 1598011421
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Entity Type | Individual
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Provider Name | MARJORIE YOLANDA LEON CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 212 CRYSTAL RUN RD
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4009
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Country | US
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Telephone | 914-493-8431
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Fax | 914-493-3166
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Provider Business Mailing Address
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Address Line | 10 LINCOLN DR
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City | WASHINGTONVILLE
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State | NY
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Zip | 10992-1229
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Country | US
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Telephone | 718-679-8540
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 383039
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 383039
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 659587
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License Number State | NY
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