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General NPI Number Information
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NPI Number | 1447698931
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Entity Type | Individual
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Provider Name | SARAH ELLEN LEININGER MSE
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Gender | Female
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1507 TOWER AVE STE 212
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City | SUPERIOR
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State | WI
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Zip | 54880-2554
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Country | US
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Telephone | 218-461-0711
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Fax |
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Provider Business Mailing Address
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Address Line | 501 NORTH 13TH AVE E
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City | DULUTH
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State | MN
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Zip | 55805-2443
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Country | US
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Telephone | 218-393-2403
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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 | 350228
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1028
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License Number State | WI
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