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General NPI Number Information
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NPI Number | 1467361584
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Entity Type | Individual
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Provider Name | LEAH R EISENBERG
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Gender |
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 1740 W TAYLOR ST STE 1400
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City | CHICAGO
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State | IL
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Zip | 60612-7232
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Country | US
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Telephone | 312-413-3805
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 W. TAYLOR ST. STE 1400 MC 693
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City | CHICAGO
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State | IL
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Zip | 60612
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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 | 174V00000X
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Taxonomy Name | Clinical Ethicist
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License Number |
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License Number State |
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