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General NPI Number Information
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NPI Number | 1891738076
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Entity Type | Organization
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Legal Business Name | ROBERT G. LEONE, MD PC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 434 ROUTE 134 SUITE C-2
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City | SOUTH DENNIS
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State | MA
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Zip | 02660-3433
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Country | US
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Telephone | 509-398-3617
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Fax |
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Provider Business Mailing Address
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Address Line | 434 ROUTE 134 SUITE C-2
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City | SOUTH DENNIS
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State | MA
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Zip | 02660-3433
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Country | US
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Telephone | 509-398-3617
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. ROBERT G LEONE
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Credential | MD
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Telephone | 509-398-3617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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