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General NPI Number Information
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NPI Number | 1598341513
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Entity Type | Organization
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Legal Business Name | LE DING MEDICAL OFFICE PLLC
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Dates
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Enumeration Date | 03/20/2021
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Last Update Date | 06/27/2021
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Provider Practice Location Address
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Address Line | 849 57TH ST STE 2F
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City | BROOKLYN
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State | NY
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Zip | 11220-3798
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Country | US
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Telephone | 917-297-9000
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Fax | 347-696-7946
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Provider Business Mailing Address
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Address Line | 17 GRENFELL DR
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City | GREAT NECK
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State | NY
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Zip | 11020-1428
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Country | US
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Telephone | 917-297-9000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LE DING
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Credential | MD
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Telephone | 917-297-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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