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General NPI Number Information
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NPI Number | 1881503829
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Entity Type | Individual
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Provider Name | LEEBA MATTHEW DNP
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 3290 VILLAGE DR
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City | MIDDLETOWN
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State | OH
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Zip | 45005-5692
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Country | US
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Telephone | 513-422-7703
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Fax |
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Provider Business Mailing Address
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Address Line | 818 VALLEY VIEW PT
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City | SPRINGBORO
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State | OH
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Zip | 45066-9097
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Country | US
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Telephone | 937-260-0512
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP0043260
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License Number State | OH
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