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General NPI Number Information
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NPI Number | 1922524164
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Entity Type | Individual
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Provider Name | NOEL DE LEON PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 730 15 STREET APT 1-D
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City | MIAMI BEACH
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State | FL
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Zip | 33139
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Country | US
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Telephone | 305-240-1183
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Fax |
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Provider Business Mailing Address
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Address Line | 730 15TH ST APT 1D
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City | MIAMI BEACH
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State | FL
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Zip | 33139-3515
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Country | US
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Telephone | 305-240-1183
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS45938
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License Number State | FL
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