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General NPI Number Information
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NPI Number | 1790925675
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Entity Type | Individual
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Provider Name | STEVE J. LEATHERWOOD MA, LPC, NBCC
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Gender | Male
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Dates
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Enumeration Date | 03/04/2009
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Last Update Date | 03/04/2009
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Provider Practice Location Address
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Address Line | 1235 FALLSTON RD
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City | SHELBY
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State | NC
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Zip | 28150-3457
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Country | US
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Telephone | 704-481-1332
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Fax | 704-481-1373
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Provider Business Mailing Address
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Address Line | 1235 FALLSTON RD PO BOX 699
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City | SHELBY
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State | NC
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Zip | 28150-3457
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Country | US
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Telephone | 704-481-1332
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Fax | 704-481-1373
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 448
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License Number State | NC
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