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General NPI Number Information
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NPI Number | 1578787552
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Entity Type | Organization
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Legal Business Name | LESLIE J. GILBERT, INC.
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2322 E 22ND ST
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City | CLEVELAND
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State | OH
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Zip | 44115-3176
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Country | US
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Telephone | 216-621-5000
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Fax | 216-621-5034
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Provider Business Mailing Address
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Address Line | 3295 BRAEMAR RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44120-3329
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Country | US
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Telephone | 216-561-8560
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Fax | 216-561-8696
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LESLIE JEAN GILBERT
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Credential | M.D.
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Telephone | 216-561-8560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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