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General NPI Number Information
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NPI Number | 1740447721
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Entity Type | Individual
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Provider Name | NORMA DELEON P.A.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 5 E 98TH ST
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City | NEW YORK
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State | NY
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Zip | 10029-6501
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Country | US
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Telephone | 212-241-8916
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Fax | 212-348-8695
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Provider Business Mailing Address
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Address Line | 2131 PROSPECT AVE
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City | BRONX
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State | NY
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Zip | 10457-2744
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Country | US
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Telephone | 917-570-0201
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Fax | 212-348-8695
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 006075
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License Number State | NY
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