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General NPI Number Information
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NPI Number | 1295724227
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Entity Type | Individual
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Provider Name | LESLEY ANN MATHEWS MSN FNPC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 22 S. GREENE ST GREENEBAUM CANCER CENTER, STE 9-D
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City | BALTIMORE
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State | MD
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Zip | 21201
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Country | US
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Telephone | 410-328-7609
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Fax |
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Provider Business Mailing Address
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Address Line | 207 E 23RD ST
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City | BALTIMORE
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State | MD
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Zip | 21218-5810
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Country | US
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Telephone | 210-326-6389
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R211676
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 533575
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License Number State | TX
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