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General NPI Number Information
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NPI Number | 1639162647
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Entity Type | Individual
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Provider Name | SEYMOUR LEONARD EDELSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 2382 E 13TH ST
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City | BROOKLYN
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State | NY
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Zip | 11229-4306
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Country | US
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Telephone | 718-646-8787
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Fax | 718-646-0098
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Provider Business Mailing Address
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Address Line | 2382 E 13TH ST
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City | BROOKLYN
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State | NY
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Zip | 11229-4306
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Country | US
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Telephone | 718-646-8787
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Fax | 718-646-0098
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 118741
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License Number State | NY
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