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General NPI Number Information
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NPI Number | 1225222672
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Entity Type | Organization
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Legal Business Name | JOEL R LEFF MDSC
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 7350 W COLLEGE DR SUITE 106
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1149
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Country | US
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Telephone | 708-361-5110
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Fax | 708-361-5305
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Provider Business Mailing Address
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Address Line | 7350 W COLLEGE DR SUITE 106
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1149
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Country | US
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Telephone | 708-361-5110
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Fax | 708-361-5305
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. JOEL R LEFF
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Credential | MD
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Telephone | 708-361-5110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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