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General NPI Number Information
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NPI Number | 1205810918
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Entity Type | Individual
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Provider Name | MARSHA SLAUGHTER LEABERRY MD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 3448 US ROUTE 60
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City | HUNTINGTON
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State | WV
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Zip | 25705-2906
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Country | US
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Telephone | 304-522-1550
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Fax | 304-522-0704
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Provider Business Mailing Address
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Address Line | PO BOX 910 RADIOLOGY INC
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City | HUNTINGTON
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State | WV
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Zip | 25712-0910
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Country | US
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Telephone | 304-522-1550
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Fax | 304-522-1073
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME162765
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 37142
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.080733
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 17637
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License Number State | WV
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