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General NPI Number Information
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NPI Number | 1346303997
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Entity Type | Individual
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Provider Name | LESLIE ELIZABETH THOMPSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 3535 MARKET ST SUITE 100
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3309
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Country | US
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Telephone | 215-746-0823
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Fax | 215-746-3500
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Provider Business Mailing Address
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Address Line | 406 LAUREL LN
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City | WALLINGFORD
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State | PA
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Zip | 19086-6818
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Country | US
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Telephone | 610-627-0544
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD037280E
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License Number State | PA
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