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General NPI Number Information
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NPI Number | 1679430037
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Entity Type | Individual
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Provider Name | LEAH NICOLE NELSON NCSP
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 102 S HICKORY AVE
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City | BEL AIR
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State | MD
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Zip | 21014-3731
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Country | US
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Telephone | 410-838-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 SLEEPY DELL CT
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City | TOWSON
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State | MD
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Zip | 21286-1414
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 14552
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License Number State | MD
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