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General NPI Number Information
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NPI Number | 1215975834
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Entity Type | Individual
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Provider Name | JEFFREY LEACH MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 96 SOFIA DR STE 208
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City | SHREWSBURY
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State | PA
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Zip | 17361-5201
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Country | US
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Telephone | 717-812-2400
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Fax | 717-812-3005
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN
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City | YORK
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State | PA
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Zip | 17402-2231
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Country | US
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Telephone | 717-851-1405
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Fax | 717-851-6969
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M1874
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD473346
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | M1874
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License Number State | TX
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