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General NPI Number Information
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NPI Number | 1922422377
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Entity Type | Individual
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Provider Name | LESLIE M GALLOP LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 2250 N MILLER CAMPUS DR
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City | LEHI
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State | UT
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Zip | 84048-7233
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Country | US
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Telephone | 385-531-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27128
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City | SALT LAKE CITY
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State | UT
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Zip | 84127-0128
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9403104-3501
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License Number State | UT
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