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General NPI Number Information
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NPI Number | 1518367127
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Entity Type | Individual
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Provider Name | LEIGH GREGORY SLP-CCC
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Gender | Female
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 4101 SOUTHPOINT DR E
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City | JACKSONVILLE
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State | FL
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Zip | 32216-0996
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Country | US
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Telephone | 904-296-3440
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Fax |
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Provider Business Mailing Address
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Address Line | 243 BONNIES MEADOW PL
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City | ASHEVILLE
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State | NC
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Zip | 28806-0367
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Country | US
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Telephone | 904-566-5007
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ6721
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 15420
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License Number State | NC
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