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General NPI Number Information
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NPI Number | 1194245142
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Entity Type | Individual
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Provider Name | LEIAH ABSHEAR LPC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 127 N WATER ST
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City | LOUDONVILLE
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State | OH
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Zip | 44842-1250
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Country | US
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Telephone | 419-774-9969
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Fax |
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Provider Business Mailing Address
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Address Line | 673 W MAIN ST
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City | DALTON
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State | OH
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Zip | 44618-9475
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Country | US
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Telephone | 330-464-1176
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.1300585
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License Number State | OH
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