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General NPI Number Information
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NPI Number | 1073390274
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Entity Type | Organization
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Legal Business Name | LEANORA BARRECA, PH.D., L.L.C.
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 851 NW 45TH ST STE 210
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City | KANSAS CITY
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State | MO
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Zip | 64116-4613
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Country | US
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Telephone | 816-368-1828
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Fax |
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Provider Business Mailing Address
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Address Line | 7606 NE 86TH CT
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City | KANSAS CITY
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State | MO
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Zip | 64157-9557
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Country | US
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Telephone | 816-550-4727
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LEANORA BARRECA
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Credential | PH.D.
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Telephone | 816-550-4727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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