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NPI Code Detail

MEDICARE: ALEX DELEON

MEDICARE: ALEX DELEON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker

General Provider Information

NPI Number : 1104286608
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX DELEON
Provider Business Mailing Address
First Line : 431 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-5533
Country : US
Telephone Number : 146-227-9420
Fax Number : 614-334-3234
Provider Business Practice Location Address
First Line : 431 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-5533
Country : US
Telephone Number : 146-227-9420
Fax Number : 614-334-3234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2016
Last Update Date : 06/30/2019

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Directions to “ ALEX DELEON ” Practice Location

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