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General NPI Number Information
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NPI Number | 1386155497
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Entity Type | Individual
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Provider Name | LESLIE SKELLEY BSN
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Gender | Female
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 10/16/2017
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Provider Practice Location Address
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Address Line | 424 SAVANNAH RD
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City | LEWES
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State | DE
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Zip | 19958-1462
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Country | US
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Telephone | 302-645-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 20683 MULBERRY KNOLL RD
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City | LEWES
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State | DE
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Zip | 19958-2642
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Country | US
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Telephone | 443-206-6886
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | L1-0051239
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License Number State | DE
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