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General NPI Number Information
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NPI Number | 1205330156
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Entity Type | Individual
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Provider Name | LESLIE A ZALESNY PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 24 HOSPITAL AVE
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City | DANBURY
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State | CT
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Zip | 06810-6077
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Country | US
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Telephone | 866-374-0007
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Fax |
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Provider Business Mailing Address
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Address Line | 11 SETTLERS RD
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City | BETHEL
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State | CT
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Zip | 06801-1608
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Country | US
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Telephone | 914-557-3248
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 021904-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4425
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License Number State | CT
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