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General NPI Number Information
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NPI Number | 1902494529
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Entity Type | Organization
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Legal Business Name | LINDA J. LEONARD LCSW LLC
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Dates
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Enumeration Date | 01/08/2021
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 8 JAMES HOLLOW DR
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City | BARNEGAT
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State | NJ
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Zip | 08005-1805
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Country | US
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Telephone | 609-618-9571
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Fax | 609-698-2616
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Provider Business Mailing Address
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Address Line | PO BOX 774
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City | BARNEGAT
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State | NJ
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Zip | 08005-0774
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Country | US
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Telephone | 609-618-9571
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Fax | 609-698-2616
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LINDA JOAN LEONARD
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Credential | LCSW
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Telephone | 609-618-9571
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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 |
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License Number State |
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