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General NPI Number Information
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NPI Number | 1356548523
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Entity Type | Organization
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Legal Business Name | LESLIE E MORATO CISW PLLC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 5920 E PIMA ST SUITE 140
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City | TUCSON
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State | AZ
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Zip | 85712-4306
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Country | US
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Telephone | 520-733-2524
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Fax | 520-733-3444
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Provider Business Mailing Address
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Address Line | 1951 N WILMOT RD BLDG 1 SUITE 2
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City | TUCSON
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State | AZ
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Zip | 85712-8000
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Country | US
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Telephone | 520-722-3777
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Fax | 520-296-6224
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Authorized Official
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Title or Position | OWNER
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Name | LESLIE E MORATO
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Credential | LCSW
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Telephone | 520-733-2524
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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 | LCSW0763
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License Number State | AZ
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