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General NPI Number Information
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NPI Number | 1992752190
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Entity Type | Individual
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Provider Name | LESLIE SIEBERT TERNER MS, APRN, CS-P, CRS
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 19 HICKORY HILL CT
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City | SILVER SPRING
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State | MD
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Zip | 20906-5807
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Country | US
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Telephone | 301-461-9427
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Fax | 301-871-0886
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Provider Business Mailing Address
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Address Line | 19 HICKORY HILL CT
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City | SILVER SPRING
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State | MD
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Zip | 20906-5807
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Country | US
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Telephone | 301-461-9427
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Fax | 301-871-0886
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | R070051
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License Number State | MD
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