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General NPI Number Information
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NPI Number | 1114329026
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Entity Type | Individual
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Provider Name | LESLIE SLIPAKOFF R.T.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 1055 CLERMONT ST
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City | DENVER
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State | CO
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Zip | 80220-3808
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Country | US
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Telephone | 970-948-8107
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Fax |
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Provider Business Mailing Address
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Address Line | 238 CATHARINE ST #3
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City | PHILADELPHIA
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State | PA
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Zip | 19147-3303
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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 | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number | 520657
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License Number State | PA
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