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General NPI Number Information
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NPI Number | 1780025643
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Entity Type | Organization
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Legal Business Name | LEON PROTASS MD PC
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 233 NORMAN RD
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-3113
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Country | US
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Telephone | 914-907-2561
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Fax |
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Provider Business Mailing Address
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Address Line | 233 NORMAN RD
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-3113
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Country | US
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Telephone | 914-907-2561
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEON PROTASS
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Credential | MD
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Telephone | 914-907-2561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 090272
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License Number State | NY
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