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General NPI Number Information
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NPI Number | 1992178297
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Entity Type | Individual
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Provider Name | LEAH EHRLICH
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Gender | Female
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Dates
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Enumeration Date | 11/09/2015
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 4725 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4603
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Country | US
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Telephone | 917-331-2536
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Fax |
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Provider Business Mailing Address
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Address Line | 3511 N 52ND AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33021-2331
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9115756
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 019313-1
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License Number State | NY
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