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General NPI Number Information
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NPI Number | 1063710952
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Entity Type | Individual
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Provider Name | MICHAEL H. LEBLOND PH.D., M.B.A,
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Gender | Male
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 8023 ROYAL BIRKDALE CIR
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-2539
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Country | US
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Telephone | 303-910-5722
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Fax |
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Provider Business Mailing Address
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Address Line | 8023 ROYAL BIRKDALE CIR
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-2539
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Country | US
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Telephone | 303-910-7222
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY9374
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LP03274
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY0003871
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License Number State | CO
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