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General NPI Number Information
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NPI Number | 1821490350
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Entity Type | Individual
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Provider Name | LESLIE JOHNS D. P. T.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 15500 ANNAPOLIS RD STE 102
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City | BOWIE
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State | MD
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Zip | 20715-3039
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Country | US
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Telephone | 443-481-1140
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 WESTBRIDGE DR UNIT 358
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City | ANNAPOLIS
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State | MD
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Zip | 21401-2469
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Country | US
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Telephone | 570-875-8283
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 29552
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 872000
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 26699
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License Number State | MD
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