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General NPI Number Information
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NPI Number | 1003342452
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Entity Type | Individual
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Provider Name | BARBARA DEE LEACH RN, ROLFER
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Gender | Female
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 115 N 5TH ST SUITE 320
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2667
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Country | US
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Telephone | 970-243-4472
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Fax | 970-243-4499
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Provider Business Mailing Address
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Address Line | 115 N 5TH ST STE 320
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2676
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Country | US
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Telephone | 970-243-4472
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Fax | 970-243-4499
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 162341
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License Number State | CO
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