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General NPI Number Information
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NPI Number | 1578085049
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Entity Type | Individual
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Provider Name | LESLIE ADDAMO
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Gender | Female
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Dates
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Enumeration Date | 07/16/2017
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 952 ECHO LN STE 240
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City | HOUSTON
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State | TX
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Zip | 77024-2837
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Country | US
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Telephone | 713-955-9324
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Fax | 713-955-6343
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Provider Business Mailing Address
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Address Line | 123 BRIGGS AVE
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City | YONKERS
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State | NY
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Zip | 10701-5603
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Country | US
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Telephone | 914-979-5062
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17452
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 021259
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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