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General NPI Number Information
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NPI Number | 1669419990
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Entity Type | Individual
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Provider Name | LARRY MILFORD LESLIE II M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 399 9TH ST N STE 300
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City | NAPLES
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State | FL
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Zip | 34102-5820
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Country | US
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Telephone | 239-624-4200
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Fax | 239-624-4201
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Provider Business Mailing Address
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Address Line | 399 9TH ST N STE 300
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City | NAPLES
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State | FL
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Zip | 34102-5820
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Country | US
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Telephone | 239-624-4200
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Fax | 239-624-4201
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01062082A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 34948
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 34948
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 01062082A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME125405
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License Number State | FL
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