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General NPI Number Information
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NPI Number | 1689022667
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Entity Type | Individual
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Provider Name | LEIGH BAITLER PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 137 E 36TH ST STE 1L
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City | NEW YORK
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State | NY
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Zip | 10016-3528
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Country | US
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Telephone | 917-533-3534
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E 77TH ST APT 24A
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City | NEW YORK
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State | NY
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Zip | 10075-2490
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Country | US
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Telephone | 917-533-3534
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 68-016853
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License Number State | NY
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