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General NPI Number Information
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NPI Number | 1689587982
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Entity Type | Individual
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Provider Name | KARI LEIGHTY
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Gender | Female
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Dates
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Enumeration Date | 09/26/2026
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Last Update Date | 09/26/2026
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Provider Practice Location Address
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Address Line | 13080 ROUTE 6
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City | CORRY
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State | PA
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Zip | 16407-8988
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Country | US
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Telephone | 814-438-6020
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 SONMAN AVE
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City | PORTAGE
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State | PA
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Zip | 15946-1934
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW144714
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License Number State | PA
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