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General NPI Number Information
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NPI Number | 1609992924
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Entity Type | Organization
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Legal Business Name | LEONARD DEUTSCH MD PC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 185 E 85TH ST APT 17D
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City | NEW YORK
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State | NY
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Zip | 10028-2140
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Country | US
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Telephone | 212-860-3393
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Fax |
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Provider Business Mailing Address
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Address Line | 185 E 85TH ST APT 17D
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City | NEW YORK
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State | NY
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Zip | 10028-2140
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Country | US
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Telephone | 212-860-3393
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. LEONARD DEUTSCH
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Credential | M.D.
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Telephone | 212-860-3393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 95430
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License Number State | NY
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