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General NPI Number Information
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NPI Number | 1841227345
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Entity Type | Individual
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Provider Name | LESLIE BORLAND CULBERTSON LCSW CSAC LSATP
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3755 EAST VIRGINIA BEACH BLVD NORFOLK COMMUNITY SERVICES BOARD
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City | NORFOLK
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State | VA
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Zip | 23502-3238
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Country | US
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Telephone | 757-664-7699
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Fax | 757-664-7698
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Provider Business Mailing Address
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Address Line | 2328 BAYVILLE ROAD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455
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Country | US
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Telephone | 757-460-9857
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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 | 0904003987
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License Number State | VA
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