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General NPI Number Information
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NPI Number | 1780710798
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Entity Type | Individual
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Provider Name | JONATHAN LEUNG D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 19 BOWERY SUITE 6
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City | NEW YORK
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State | NY
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Zip | 10002-6702
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Country | US
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Telephone | 212-431-4333
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Fax |
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Provider Business Mailing Address
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Address Line | 40 OLD PINE DR
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City | MANHASSET
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State | NY
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Zip | 11030-2010
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Country | US
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Telephone | 516-967-6255
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Fax |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 243211
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License Number State | NY
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