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General NPI Number Information
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NPI Number | 1043759673
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Entity Type | Individual
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Provider Name | LESLYE RENEE ROBBINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 2302 FILLMORE STREET
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City | SAN FRANCISCO
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State | CA
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Zip | 94115
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Country | US
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Telephone | 415-675-5772
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Fax |
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Provider Business Mailing Address
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Address Line | 250 LAFAYETTE CIRCLE SUITE #107
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City | LAFAYETTE
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State | CA
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Zip | 94549
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Country | US
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Telephone | 415-675-5772
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW14937
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License Number State | CA
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