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General NPI Number Information
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NPI Number | 1205296134
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Entity Type | Individual
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Provider Name | LESLIE SZASZ
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Gender | Male
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 3295 W ELDER ST STE 208
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City | BOISE
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State | ID
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Zip | 83705-4772
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Country | US
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Telephone | 614-307-6698
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Fax |
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Provider Business Mailing Address
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Address Line | 1614 N 17TH ST
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City | BOISE
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State | ID
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Zip | 83702-1001
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Country | US
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Telephone | 614-323-2225
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1302240
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-41119
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1700189
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License Number State | OH
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