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General NPI Number Information
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NPI Number | 1295865459
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Entity Type | Individual
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Provider Name | LESLIE M HARDY MSW, LCSW, LCAS
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 809 SPRING FOREST RD STE 1000
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City | RALEIGH
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State | NC
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Zip | 27609-9147
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Country | US
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Telephone | 919-434-3555
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Fax | 919-665-5095
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Provider Business Mailing Address
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Address Line | PO BOX 58098
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City | RALEIGH
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State | NC
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Zip | 27658-8098
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Country | US
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Telephone | 919-434-3555
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Fax | 919-981-7373
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW004730
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C003663
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License Number State | NC
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