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General NPI Number Information
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NPI Number | 1962694562
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Entity Type | Individual
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Provider Name | DORIS ALEXANDRA LEON-CONCEPCION M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 4170 TOWN CENTER BLVD SUITE 102
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City | ORLANDO
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State | FL
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Zip | 32837-5873
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Country | US
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Telephone | 407-857-2817
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Fax | 407-857-0234
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Provider Business Mailing Address
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Address Line | 4170 TOWN CENTER BLVD SUITE 102
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City | ORLANDO
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State | FL
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Zip | 32837-5873
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Country | US
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Telephone | 407-857-2817
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Fax | 407-857-0234
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME 99471
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | U3919
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME 99471
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License Number State | FL
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