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General NPI Number Information
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NPI Number | 1841725629
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Entity Type | Individual
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Provider Name | ERIK M LESKO FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 1872 N LAKE FOREST DR
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City | MCKINNEY
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State | TX
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Zip | 75071-7665
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Country | US
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Telephone | 214-592-0701
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Fax |
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Provider Business Mailing Address
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Address Line | 1428 CAPSTAN DR
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City | ALLEN
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State | TX
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Zip | 75013-3412
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Country | US
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Telephone | 972-408-7892
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP133870
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 832250
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License Number State | TX
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