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General NPI Number Information
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NPI Number | 1003649252
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Entity Type | Individual
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Provider Name | ABBEY CORIN LEA DPT
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Gender | Female
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Dates
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Enumeration Date | 08/22/2024
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 1975 4TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2351
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Country | US
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Telephone | 415-514-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 1789 9TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-4701
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Country | US
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Telephone | 707-326-4569
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 306416
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License Number State | CA
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