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NPI 1760224166

NPI 1760224166 : SARAH-JEAN S. LEIGH PMHNP : BATH, NY

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General NPI Number Information
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    NPI Number           |    1760224166
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH-JEAN S. LEIGH PMHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2024
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    Last Update Date     |    06/10/2025
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Provider Practice Location Address
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    Address Line         |    226 W MORRIS ST 
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    City                 |    BATH
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    State                |    NY
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    Zip                  |    14810-1413
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    Country              |    US
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    Telephone            |    607-776-8700
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    Fax                  |    607-776-3679
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Provider Business Mailing Address
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    Address Line         |    600 IVY ST STE 206 
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    City                 |    ELMIRA
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    State                |    NY
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    Zip                  |    14905-1627
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    Country              |    US
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    Telephone            |    607-271-2093
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    Fax                  |    607-271-2071
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    405935
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    License Number State |    NY
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