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General NPI Number Information
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NPI Number | 1083568281
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Entity Type | Individual
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Provider Name | SHELLEY RHONDA LESLEY
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Gender | Female
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 78140 CALLE TAMPICO
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City | LA QUINTA
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State | CA
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Zip | 92253-2900
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Country | US
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Telephone | 760-863-7970
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Fax |
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Provider Business Mailing Address
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Address Line | 79380 FOUR PATHS LN
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City | BERMUDA DUNES
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State | CA
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Zip | 92203-1651
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Country | US
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Telephone | 760-863-7970
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | MPSS-KHPMCJ
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License Number State | CA
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