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General NPI Number Information
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NPI Number | 1366676876
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Entity Type | Individual
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Provider Name | LESLIE ANNE WALKER
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Gender | Female
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 1410 DANZIG PLZ SUITE 102
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City | CONCORD
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State | CA
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Zip | 94520-7979
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Country | US
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Telephone | 925-399-8747
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Fax | 925-399-8750
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Provider Business Mailing Address
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Address Line | 1850 GATEWAY BLVD SUITE 900
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City | CONCORD
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State | CA
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Zip | 94520-3279
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Country | US
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Telephone | 925-825-4700
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Fax | 925-825-2610
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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