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General NPI Number Information
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NPI Number | 1992904122
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Entity Type | Individual
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Provider Name | LESLYE WOODS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 6388 SILVER STAR RD SUITE 2E
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City | ORLANDO
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State | FL
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Zip | 32818-3235
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Country | US
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Telephone | 407-298-5300
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Fax | 407-296-0026
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Provider Business Mailing Address
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Address Line | PO BOX 555907
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City | ORLANDO
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State | FL
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Zip | 32855-5907
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Country | US
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Telephone | 407-298-5300
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Fax | 407-296-0026
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 8661
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License Number State | FL
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