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General NPI Number Information
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NPI Number | 1518432418
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Entity Type | Individual
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Provider Name | LESLIE C. ZAHAREWICZ APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/06/2018
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 425 WESTPARK WAY STE 102
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City | EULESS
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State | TX
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Zip | 76040-3936
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Country | US
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Telephone | 817-354-7070
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Fax | 817-354-7073
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Provider Business Mailing Address
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Address Line | 1721 FOUNTAIN PASS DR
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City | COLLEYVILLE
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State | TX
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Zip | 76034-7723
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Country | US
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Telephone | 817-395-2705
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP139145
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP139145
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License Number State | TX
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