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General NPI Number Information
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NPI Number | 1124273123
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Entity Type | Organization
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Legal Business Name | LESLIE J. PALUMBERI, LCSW, PA
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1415 PANTHER LANE SUITE 203
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City | NAPLES
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State | FL
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Zip | 34109-7874
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Country | US
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Telephone | 239-777-4843
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Fax | 239-591-6601
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Provider Business Mailing Address
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Address Line | 1415 PANTHER LANE SUITE 203
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City | NAPLES
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State | FL
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Zip | 34109-7874
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Country | US
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Telephone | 239-777-4843
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Fax | 239-591-6601
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | LESLIEJ PALUMBERI
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Credential | LCSW
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Telephone | 239-591-6636
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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