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General NPI Number Information
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NPI Number | 1265390124
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Entity Type | Individual
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Provider Name | MADELINE RAE LEATHERBARROW LBS
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1035 VIRGINIA DR
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-3103
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Country | US
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Telephone | 215-718-2102
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Fax | 272-400-2026
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Provider Business Mailing Address
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Address Line | 4954 CABIN RUN RD
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City | PIPERSVILLE
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State | PA
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Zip | 18947-1057
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Country | US
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Telephone | 267-272-9911
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH008179
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License Number State | PA
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