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General NPI Number Information
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NPI Number | 1326490400
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Entity Type | Individual
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Provider Name | LESLIE ROWAN MA, MFTI
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Gender | Female
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 30552 HILLTOP WAY
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-2048
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Country | US
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Telephone | 949-444-5333
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Fax | 480-383-6983
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Provider Business Mailing Address
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Address Line | 2819 NEW CASTLE WAY
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City | CARLSBAD
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State | CA
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Zip | 92010-7007
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Country | US
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Telephone | 760-420-1533
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Fax | 480-383-6983
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF88775
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License Number State | CA
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