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General NPI Number Information
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NPI Number | 1386445898
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Entity Type | Individual
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Provider Name | LEAH KATLYNN MILES PREZZI LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 165 LOG CANOE CIR STE B3
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City | STEVENSVILLE
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State | MD
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Zip | 21666-2150
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Country | US
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Telephone | 443-249-3351
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Fax |
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Provider Business Mailing Address
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Address Line | 702 CENTRAL AVE
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City | RIDGELY
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State | MD
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Zip | 21660-2148
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Country | US
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Telephone | 410-310-7752
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 32841
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License Number State | MD
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