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General NPI Number Information
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NPI Number | 1760840441
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Entity Type | Organization
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Legal Business Name | LESLIE HART COUNSELING, PLLC
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 5601 DEMOCRACY DR SUITE 135
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City | PLANO
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State | TX
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Zip | 75024-3687
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Country | US
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Telephone | 214-223-4589
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 DEMOCRACY DR SUITE 135
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City | PLANO
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State | TX
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Zip | 75024-3687
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Country | US
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Telephone | 214-223-4589
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | LESLIE HART
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Credential | LCSW
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Telephone | 214-223-4589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 28169
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License Number State | TX
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