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General NPI Number Information
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NPI Number | 1215138300
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Entity Type | Individual
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Provider Name | HEATHER LESLIE LINDO LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 17011 STATE ROAD 50 STE 301
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City | CLERMONT
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State | FL
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Zip | 34711-8203
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Country | US
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Telephone | 833-769-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 4327 S HWY 27 PMB 203
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City | CLERMONT
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State | FL
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Zip | 34711
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Country | US
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Telephone | 704-706-4528
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Fax | 704-749-8612
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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 | 193400000X
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Taxonomy Name | Single Specialty Group
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License Number | SW13438
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License Number State | FL
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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 | SW13438
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License Number State | FL
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