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General NPI Number Information
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NPI Number | 1497742928
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Entity Type | Individual
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Provider Name | LESLIE ANNE WEBB M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 740 HIGH ST SUITE 2001
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-3102
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Country | US
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Telephone | 570-321-2800
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Fax | 570-321-3351
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Provider Business Mailing Address
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Address Line | 1201 GRAMPIAN BLVD
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-1900
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Country | US
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Telephone |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101057193
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 200400775
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD452541
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 0101057193
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD452541
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License Number State | PA
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