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General NPI Number Information
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NPI Number | 1053120048
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Entity Type | Individual
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Provider Name | DANIEL LEFF
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Gender | Male
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 4101 S 4TH ST
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City | LEAVENWORTH
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State | KS
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Zip | 66048-5014
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Country | US
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Telephone | 913-306-0813
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Fax |
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Provider Business Mailing Address
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Address Line | 20536 ORCHARD LN
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City | SAINT JOSEPH
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State | MO
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Zip | 64505-8206
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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 | 2019030380
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License Number State | MO
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