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General NPI Number Information
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NPI Number | 1427118363
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Entity Type | Individual
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Provider Name | ROBERT LEIPHOLTZ MA
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 819 ALEXANDER RD
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City | PRINCETON
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State | NJ
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Zip | 08540-6303
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Country | US
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Telephone | 215-357-2545
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Fax |
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Provider Business Mailing Address
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Address Line | 14 LEGACY OAKS DR
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City | RICHBORO
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State | PA
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Zip | 18954-2200
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37PC00025600
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License Number State | NJ
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