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General NPI Number Information
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NPI Number | 1134253198
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Entity Type | Individual
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Provider Name | LESLIE MARIE FARIS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 110 TAYLOR ST
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City | KELLER
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State | TX
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Zip | 76248-2240
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Country | US
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Telephone | 817-482-6114
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Fax | 817-741-8488
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Provider Business Mailing Address
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Address Line | 110 TAYLOR ST
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City | KELLER
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State | TX
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Zip | 76248-2240
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Country | US
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Telephone | 817-482-6114
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Fax | 817-741-8488
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32477
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License Number State | TX
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