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General NPI Number Information
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NPI Number | 1396067427
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Entity Type | Individual
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Provider Name | LESLIE ANNE POWERS LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 51 MILL STREET, SUITE 8
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City | HANOVER
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State | MA
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Zip | 02339
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Country | US
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Telephone | 781-812-5265
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Fax |
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Provider Business Mailing Address
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Address Line | 8 KING PHILIP PATH
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City | HINGHAM
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State | MA
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Zip | 02043
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Country | US
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Telephone | 617-413-6184
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1369
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License Number State | MA
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