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General NPI Number Information
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NPI Number | 1700186913
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Entity Type | Individual
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Provider Name | RON D. LEYMASTER ED.D., NBCC, CCMHC
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Gender | Male
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 410C SE 3RD ST SUITE # 104
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2800
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Country | US
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Telephone | 816-347-0620
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Fax | 877-576-1920
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Provider Business Mailing Address
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Address Line | 410C SE 3RD ST SUITE # 104
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2800
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Country | US
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Telephone | 816-347-0620
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Fax | 877-576-1920
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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 | 1096
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License Number State | MO
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