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General NPI Number Information
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NPI Number | 1619045374
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Entity Type | Organization
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Legal Business Name | LESLIE CELESTINA DDS PA
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 12/16/2008
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Provider Practice Location Address
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Address Line | 5601 US HWY 27 NORTH
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City | SEBRING
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State | FL
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Zip | 33870-1212
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Country | US
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Telephone | 863-383-4894
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Fax | 863-382-6715
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Provider Business Mailing Address
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Address Line | 5601 US HIGHWAY 27 N
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City | SEBRING
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State | FL
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Zip | 33870-1212
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Country | US
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Telephone | 863-383-4894
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Fax | 863-382-6715
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Authorized Official
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Title or Position | OWNER
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Name | DR. LESLIE WILLIAM CELESTINA
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Credential | DDS
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Telephone | 863-382-4894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN 15545
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License Number State | FL
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