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General NPI Number Information
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NPI Number | 1265466684
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Entity Type | Individual
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Provider Name | LESLEY PHYLLIS FURMAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 9800 S HEALTHPARK DR STE 205
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City | FORT MYERS
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State | FL
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Zip | 33908-3630
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Country | US
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Telephone | 239-343-7130
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Fax | 239-343-7185
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-343-7130
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Fax | 239-343-7185
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME117320
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME117320
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA05548100
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License Number State | NJ
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