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General NPI Number Information
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NPI Number | 1013121458
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Entity Type | Organization
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Legal Business Name | LEAPS AND BOUNDS THERAPY CENTER
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2710 E ARROWHEAD TRL
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City | GILBERT
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State | AZ
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Zip | 85297-8108
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Country | US
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Telephone | 480-226-5497
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 E ARROWHEAD TRL
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City | GILBERT
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State | AZ
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Zip | 85297-8108
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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 | DIRECTOR
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Name | RHONDA LARSON
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Credential |
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Telephone | 480-226-5497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | TBD
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License Number State | AZ
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