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General NPI Number Information
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NPI Number | 1225275670
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Entity Type | Individual
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Provider Name | LESLIE C BROWN LBSW
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Gender | Female
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 401 N VALLEY PKWY SUITE 380
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City | LEWISVILLE
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State | TX
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Zip | 75067-3438
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Country | US
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Telephone | 972-353-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 3524 EISENHOWER LN
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City | PLANO
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State | TX
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Zip | 75023-3828
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Country | US
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Telephone | 972-896-9986
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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 | 29234
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License Number State | TX
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