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General NPI Number Information
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NPI Number | 1831771559
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Entity Type | Organization
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Legal Business Name | STEPHEN R. LEONE, P.C.
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 450 PLEASANT ST STE 3
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City | BROCKTON
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State | MA
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Zip | 02301-2536
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Country | US
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Telephone | 508-583-2565
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Fax | 508-580-2477
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Provider Business Mailing Address
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Address Line | 450 PLEASANT ST STE 3
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City | BROCKTON
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State | MA
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Zip | 02301-2536
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Country | US
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Telephone | 508-583-2565
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Fax | 508-580-2477
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN RALPH LEONE
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Credential | DC
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Telephone | 508-583-2565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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