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General NPI Number Information
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NPI Number | 1194265710
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Entity Type | Organization
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Legal Business Name | LINDSEY R. LEESON, M.S., CCC-SLP, P.A.
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 37937 HEATHER PL
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City | DADE CITY
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State | FL
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Zip | 33525-5420
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Country | US
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Telephone | 352-467-0088
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Fax | 813-779-1879
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Provider Business Mailing Address
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Address Line | 37937 HEATHER PL
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City | DADE CITY
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State | FL
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Zip | 33525-5420
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Country | US
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Telephone | 352-467-0088
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Fax | 813-779-1879
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Authorized Official
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Title or Position | ADMIN MANAGER
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Name | SUSANNE WITT
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Credential |
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Telephone | 352-585-7871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA11458
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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