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General NPI Number Information
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NPI Number | 1962929034
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Entity Type | Individual
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Provider Name | LESLEY A CROSS
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Gender | Female
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 10/15/2019
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Provider Practice Location Address
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Address Line | 870 HIGH ST STE 203
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City | WORTHINGTON
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State | OH
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Zip | 43085-4139
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Country | US
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Telephone | 614-284-8922
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Fax | 614-284-8922
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Provider Business Mailing Address
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Address Line | 494 MID DR
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City | WORTHINGTON
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State | OH
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Zip | 43085-3822
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Country | US
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Telephone | 614-271-2289
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.1800655
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License Number State | OH
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