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General NPI Number Information
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NPI Number | 1376619791
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Entity Type | Individual
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Provider Name | MICHAEL H LEACH MMFT
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 21ST AVE S SUITE 1100
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City | NASHVILLE
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State | TN
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Zip | 37212-3160
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Country | US
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Telephone | 615-322-8701
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Fax |
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Provider Business Mailing Address
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Address Line | 414 WOODSMAN CT
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City | NASHVILLE
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State | TN
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Zip | 37214-4344
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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