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General NPI Number Information
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NPI Number | 1396430005
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Entity Type | Individual
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Provider Name | LEIGH K WARE
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Gender | Female
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 267 LANGLEY DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-6907
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Country | US
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Telephone | 888-341-0934
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Fax |
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Provider Business Mailing Address
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Address Line | 700 KENDALL LN
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City | BETHLEHEM
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State | GA
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Zip | 30620-4739
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Country | US
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Telephone | 407-989-0934
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 008080
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License Number State | GA
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