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General NPI Number Information
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NPI Number | 1881452217
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Entity Type | Individual
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Provider Name | NICHOLAS JAMES LESKE
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Gender | Male
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 5130 ROSE HILL BLVD
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City | HOLLY
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State | MI
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Zip | 48442-9507
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Country | US
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Telephone | 248-531-2403
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Fax |
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Provider Business Mailing Address
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Address Line | 316 FAIRFIELD AVE
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City | HOLLY
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State | MI
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Zip | 48442-1255
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Country | US
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Telephone | 248-807-7963
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | MI
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