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General NPI Number Information
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NPI Number | 1639038227
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Entity Type | Individual
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Provider Name | LESLIE OLAJIMBITI
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 10080 E US HIGHWAY 36 STE A
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City | AVON
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State | IN
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Zip | 46123-8174
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Country | US
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Telephone | 317-790-9396
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Fax |
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Provider Business Mailing Address
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Address Line | 978 CANNING ST
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City | DANVILLE
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State | IN
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Zip | 46122-6004
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Country | US
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Telephone | 317-790-9396
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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