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General NPI Number Information
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NPI Number | 1063812691
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Entity Type | Individual
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Provider Name | LEAH MALAVET
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Gender | Female
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 57 REGIONAL DR
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City | CONCORD
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State | NH
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Zip | 03301-8518
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Country | US
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Telephone | 603-224-7630
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Fax |
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Provider Business Mailing Address
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Address Line | 1497 US 3
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City | CAMPTON
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State | NH
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Zip | 03223
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Country | US
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Telephone | 617-780-8223
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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