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General NPI Number Information
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NPI Number | 1336896620
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Entity Type | Organization
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Legal Business Name | LESLIE ABRAMS, LTD
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 420 LAKE COOK RD STE 113
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City | DEERFIELD
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State | IL
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Zip | 60015-4914
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Country | US
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Telephone | 847-409-9461
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 WARRINGTON RD
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City | DEERFIELD
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State | IL
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Zip | 60015-3145
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Country | US
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Telephone | 847-409-9461
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. LESLIE ABRAMS
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Credential | PHD
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Telephone | 847-409-9461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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