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General NPI Number Information
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NPI Number | 1104790708
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Entity Type | Individual
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Provider Name | LESLIE CAROMILE PHD
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 263 FARMINGTON AVE UCONN HEALTH ROOM L-5008
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City | FARMINGTON
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State | CT
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Zip | 06030-3501
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Country | US
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Telephone | 560-990-5044
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Fax |
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Provider Business Mailing Address
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Address Line | 16 CONCORD CIR
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City | NEWINGTON
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State | CT
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Zip | 06111-3401
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Country | US
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Telephone |
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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 | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State | CT
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