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General NPI Number Information
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NPI Number | 1689663619
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Entity Type | Individual
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Provider Name | VIDAL ROSARIO LEON MD
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Gender | Male
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 108 CALLE JOSE C. VAZQUEZ
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City | AIBONITO
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State | PR
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Zip | 00705
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Country | US
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Telephone | 787-738-8077
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Fax | 888-483-2905
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Provider Business Mailing Address
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Address Line | PO BOX 372350
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City | CAYEY
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State | PR
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Zip | 00736
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Country | US
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Telephone | 787-738-8077
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Fax | 888-483-2905
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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 | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 007815
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License Number State | PR
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