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General NPI Number Information
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NPI Number | 1669522280
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE LEDDY M.S.
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3355 S COUNTY TRL
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City | EAST GREENWICH
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State | RI
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Zip | 02818-1434
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Country | US
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Telephone | 401-885-7115
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Fax | 401-885-4740
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Provider Business Mailing Address
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Address Line | 3355 S COUNTY TRL
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City | EAST GREENWICH
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State | RI
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Zip | 02818-1434
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Country | US
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Telephone | 401-885-7115
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Fax | 401-885-4740
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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 | 00047
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License Number State | RI
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