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General NPI Number Information
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NPI Number | 1760499297
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Entity Type | Individual
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Provider Name | JEFFREY JOSEPH LEONI PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 833 N PARK RD STE 207
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City | WYOMISSING
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State | PA
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Zip | 19610-1341
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Country | US
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Telephone | 484-709-1381
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Fax |
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Provider Business Mailing Address
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Address Line | 908 KATE DR
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City | SINKING SPRING
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State | PA
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Zip | 19608-9525
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Country | US
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Telephone | 610-780-5485
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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 | PS016429
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License Number State | PA
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