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General NPI Number Information
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NPI Number | 1740969237
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Entity Type | Individual
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Provider Name | LEIGH ALEXANDER ANDREWS PHD (CONFERRED 8/17)
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Gender | Male
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 1100 WALNUT ST STE 603
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5563
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Country | US
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Telephone | 215-360-2673
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Fax |
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Provider Business Mailing Address
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Address Line | 317 E 85TH ST # PHB
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City | NEW YORK
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State | NY
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Zip | 10028-4541
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Country | US
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Telephone | 215-360-2673
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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