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General NPI Number Information
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NPI Number | 1295691954
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Entity Type | Individual
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Provider Name | LESLIE JIMENEZ
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Gender | Female
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 292 S LA CIENEGA BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3330
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Country | US
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Telephone | 310-954-9614
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 WESTMONT DR
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City | ALHAMBRA
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State | CA
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Zip | 91803-2544
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State | CA
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