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General NPI Number Information
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NPI Number | 1710078910
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Entity Type | Individual
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Provider Name | JOANN L LESKOVAR MSW
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 1700 YGNACIO VALLEY RD SUITE 200
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3191
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Country | US
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Telephone | 510-684-1363
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Fax |
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Provider Business Mailing Address
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Address Line | 15 MARLIN CV
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City | OAKLAND
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State | CA
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Zip | 94618-2322
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Country | US
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Telephone | 510-898-1808
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCS3781
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License Number State | CA
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