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General NPI Number Information
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NPI Number | 1871642850
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Entity Type | Individual
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Provider Name | ANNE M LEACH M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1614 S BYRNE RD SUITE DD
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City | TOLEDO
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State | OH
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Zip | 43614-3464
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Country | US
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Telephone | 419-385-1290
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Fax | 419-385-8007
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Provider Business Mailing Address
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Address Line | 3557 RIVER RD
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City | TOLEDO
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State | OH
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Zip | 43614-4327
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Country | US
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Telephone | 419-385-4980
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Fax | 419-385-8007
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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 | 0001335
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License Number State | OH
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