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NPI 1598629701

NPI 1598629701 : STANLEY R LESZEWSKI RECOVERY SPEAKER : BAYONNE, NJ

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General NPI Number Information
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    NPI Number           |    1598629701
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    Entity Type          |    Individual 
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    Provider Name        |    STANLEY R LESZEWSKI RECOVERY SPEAKER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/11/2025
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    74 LEXINGTON AVE APT 406 
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    City                 |    BAYONNE
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    State                |    NJ
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    Zip                  |    07002-4266
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    Country              |    US
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    Telephone            |    201-304-7600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1111 LAKE TER APT 207 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33426-5108
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    Country              |    US
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    Telephone            |    201-204-8384
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    Fax                  |    201-204-8384
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    251S00000X
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    License Number State |    NJ
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