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General NPI Number Information
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NPI Number | 1265511315
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Entity Type | Individual
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Provider Name | LESLEY P ABBOTT D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 2121 ARGILLITE RD
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City | FLATWOODS
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State | KY
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Zip | 41139-2615
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Country | US
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Telephone | 606-833-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 524 SUNSET DROVE
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City | ASHLAND
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State | KY
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Zip | 41101-2681
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Country | US
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Telephone | 606-232-9179
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02808
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | KY020803
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License Number State | KY
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