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General NPI Number Information
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NPI Number | 1063709509
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Entity Type | Organization
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Legal Business Name | LESLIE A ABBEY, L.L.C.
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 07/05/2011
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Provider Practice Location Address
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Address Line | 1900 W 75TH ST SUITE 120
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3501
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Country | US
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Telephone | 913-262-2950
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Fax | 913-384-4629
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Provider Business Mailing Address
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Address Line | 1900 W 75TH ST SUITE 120
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3501
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Country | US
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Telephone | 913-262-2950
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Fax | 913-384-4629
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. LESLIE A ABBEY
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Credential | L.S.C.S.W.
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Telephone | 913-262-2950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | LSCSW1264
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License Number State | KS
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