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General NPI Number Information
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NPI Number | 1912417205
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE LESLIE FNP
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Gender | Female
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1907 W MORRIS BLVD STE A200
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City | MORRISTOWN
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State | TN
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Zip | 37813-3880
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Country | US
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Telephone | 865-673-5000
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Fax | 865-588-5711
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Provider Business Mailing Address
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Address Line | 1177 SPRUCE PINE RD
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City | ROGERSVILLE
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State | TN
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Zip | 37857-7405
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Country | US
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Telephone | 407-716-1057
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 22661
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License Number State | TN
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