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NPI 1912046855

NPI 1912046855 : FRANCISCO DELEON M.D. : WEST BRENTWOOD, NY

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General NPI Number Information
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    NPI Number           |    1912046855
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCISCO DELEON M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/06/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    998 CROOKED HILL RD 
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    City                 |    WEST BRENTWOOD
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    State                |    NY
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    Zip                  |    11717-1043
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    Country              |    US
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    Telephone            |    631-761-3512
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5 HEATHER DR 
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    City                 |    KINGS PARK
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    State                |    NY
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    Zip                  |    11754-1207
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    Country              |    US
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    Telephone            |    631-544-4250
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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        |    207ZP0101X
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    Taxonomy Name        |    Anatomic Pathology Physician
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    License Number       |    104900-1
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    License Number State |    NY
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