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General NPI Number Information
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NPI Number | 1023100377
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Entity Type | Individual
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Provider Name | LESLIE CAROL LIEN SLP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 227 16TH ST W SUITE 100
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City | DICKINSON
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State | ND
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Zip | 58601-4660
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Country | US
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Telephone | 701-225-0767
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Fax | 701-225-7123
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Provider Business Mailing Address
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Address Line | 786 ALBANY ST
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City | DELTA
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State | CO
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Zip | 81416-6401
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Country | US
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Telephone | 701-590-2598
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Fax | 701-225-7123
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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 | 890
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License Number State | ND
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