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General NPI Number Information
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NPI Number | 1003356254
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Entity Type | Individual
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Provider Name | LESLIEANN C WILLIAMS M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 3620 LITTLEDALE RD
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City | KENSINGTON
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State | MD
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Zip | 20895-3424
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Country | US
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Telephone | 540-219-6238
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Fax |
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Provider Business Mailing Address
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Address Line | 9803 MAHOGANY DR APT 305
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City | GAITHERSBURG
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State | MD
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Zip | 20878-4633
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Country | US
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Telephone | 540-219-6238
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 05880
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License Number State | MD
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