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General NPI Number Information
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NPI Number | 1689311953
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Entity Type | Individual
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Provider Name | LESLIE MARIE PORTILLO MA, LCAT, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 92 BROADWAY STE 200
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City | GREENLAWN
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State | NY
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Zip | 11740-1328
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Country | US
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Telephone | 516-513-9313
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Fax |
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Provider Business Mailing Address
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Address Line | 38 BRAND DR
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City | HUNTINGTON
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State | NY
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Zip | 11743-4503
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Country | US
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Telephone | 516-513-9313
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 003005
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License Number State | NY
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