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NPI 1609872183

NPI 1609872183 : LESLIE A DUNST CCC-A : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1609872183
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    Entity Type          |    Individual 
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    Provider Name        |    LESLIE A DUNST CCC-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2005
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    Last Update Date     |    04/26/2022
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Provider Practice Location Address
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    Address Line         |    2703 MURRAY AVE 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15217-2419
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    Country              |    US
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    Telephone            |    412-422-8006
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    Fax                  |    412-422-6111
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Provider Business Mailing Address
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    Address Line         |    143 FOXCHASE DR 
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    City                 |    CANONSBURG
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    State                |    PA
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    Zip                  |    15317-5441
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    Country              |    US
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    Telephone            |    724-506-0518
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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        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    AT000912L
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    License Number State |    PA
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