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General NPI Number Information
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NPI Number | 1972168086
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Entity Type | Individual
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Provider Name | LESLIE SMITH RN, AOCNS, APRN-CNS
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Gender | Female
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Dates
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Enumeration Date | 05/03/2019
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Last Update Date | 05/03/2019
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Provider Practice Location Address
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Address Line | 10 CENTER DR ROOM 3-5485
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 240-507-8218
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Fax |
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Provider Business Mailing Address
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Address Line | 16012 BONNIEBANK TER
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City | GERMANTOWN
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State | MD
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Zip | 20874-3119
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Country | US
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Telephone | 614-284-2689
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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 | 364SX0200X
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Taxonomy Name | Oncology Clinical Nurse Specialist
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License Number | CS00072
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License Number State | MD
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