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General NPI Number Information
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NPI Number | 1124594940
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Entity Type | Individual
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Provider Name | LESLIE PARKER STRACHAN LICSW, LADC I
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Gender | Female
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 10/18/2018
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Provider Practice Location Address
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Address Line | 127 MAIN ST
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City | CHARLESTOWN
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State | MA
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Zip | 02129-3533
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Country | US
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Telephone | 617-733-5924
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Fax |
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Provider Business Mailing Address
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Address Line | 83 ELM ST
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City | CHARLESTOWN
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State | MA
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Zip | 02129-1926
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Country | US
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Telephone | 617-733-5924
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | MA
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