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General NPI Number Information
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NPI Number | 1508931791
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Entity Type | Individual
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Provider Name | LESLIE ANTHONY CRESCIMANO MD
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 5601 N DIXIE HWY STE 320
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4146
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Country | US
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Telephone | 954-491-0030
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Fax | 954-771-7515
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Provider Business Mailing Address
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Address Line | 2160 COLONIAL BLVD
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City | FORT MYERS
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State | FL
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Zip | 33907-1410
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Country | US
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Telephone | 239-931-7342
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Fax | 239-931-7385
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME0031471
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License Number State | FL
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