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General NPI Number Information
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NPI Number | 1790446136
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Entity Type | Individual
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Provider Name | LEAH POOLE
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 3301 ATLANTIC AVE STE 109
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City | RALEIGH
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State | NC
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Zip | 27604-1658
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Country | US
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Telephone | 919-348-9245
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Fax |
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Provider Business Mailing Address
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Address Line | 4140 LASSITER MILL RD UNIT 305
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City | RALEIGH
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State | NC
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Zip | 27609-5687
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Country | US
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Telephone | 252-202-3739
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C018303
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P017156
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License Number State | NC
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