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General NPI Number Information
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NPI Number | 1346790359
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Entity Type | Individual
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Provider Name | LEAH SMITH
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Gender | Female
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1060 CLAREMONT AVE
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City | ASHLAND
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State | OH
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Zip | 44805-3715
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Country | US
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Telephone | 567-203-3355
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Fax | 567-212-3194
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Provider Business Mailing Address
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Address Line | 2510 SILVER FOX TRL
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City | ASHLAND
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State | OH
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Zip | 44805-8805
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Country | US
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Telephone | 567-203-3355
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Fax | 567-212-3194
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.1600004
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License Number State | OH
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