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General NPI Number Information
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NPI Number | 1457692006
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Entity Type | Individual
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Provider Name | CHRISTINA LYNN LEACH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 10903 NEW HAMPSHIRE AVE BUILDING 22 ROOM 2243
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City | SILVER SPRING
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State | MD
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Zip | 20903
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Country | US
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Telephone | 240-402-6571
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Fax |
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Provider Business Mailing Address
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Address Line | 10903 NEW HAMPSHIRE AVE BUILDING 22 ROOM 2243
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City | SILVER SPRING
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State | MD
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Zip | 20903
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Country | US
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Telephone | 240-402-6571
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19274
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License Number State | MD
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