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General NPI Number Information
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NPI Number | 1790251486
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Entity Type | Individual
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Provider Name | LESLIE SASSO LVN
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Gender | Female
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 1255 W 15TH ST STE 1025
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City | PLANO
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State | TX
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Zip | 75075-7253
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Country | US
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Telephone | 855-704-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 CATBIRD DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-8517
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Country | US
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Telephone | 432-880-4968
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 344186
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License Number State | TX
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