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General NPI Number Information
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NPI Number | 1750852786
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Entity Type | Individual
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Provider Name | LESLEY PAIGE SAGALOW M.ED, LP.C, NCC.
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Gender | Female
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 100 S BROAD ST STE 1940
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City | PHILADELPHIA
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State | PA
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Zip | 19110-1000
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Country | US
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Telephone | 610-716-8290
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Fax |
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Provider Business Mailing Address
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Address Line | 1338 CHESTNUT ST APT 1311
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4542
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Country | US
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Telephone | 610-716-8290
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC010860
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License Number State | PA
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