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General NPI Number Information
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NPI Number | 1275279218
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Entity Type | Organization
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Legal Business Name | LEIGH A BROCK
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 8080 BECKETT CENTER DR STE 223
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City | WEST CHESTER
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State | OH
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Zip | 45069-5037
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Country | US
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Telephone | 513-642-9737
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Fax |
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Provider Business Mailing Address
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Address Line | 7717 BLACK SQUIRREL TRL
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City | HAMILTON
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State | OH
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Zip | 45011-8561
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Country | US
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Telephone | 513-642-9737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEIGH ANN BROCK
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Credential | LPCC
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Telephone | 513-642-9737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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