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General NPI Number Information
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NPI Number | 1730907759
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Entity Type | Organization
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Legal Business Name | LEONETTI ASSOCIATES
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 602 LIVINGSTON AVE
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-2443
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Country | US
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Telephone | 732-371-1089
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Fax |
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Provider Business Mailing Address
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Address Line | 602 LIVINGSTON AVE
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-2443
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DOMENIC LEONETTI
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Credential |
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Telephone | 732-371-1089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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