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General NPI Number Information
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NPI Number | 1033206776
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Entity Type | Organization
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Legal Business Name | DEBBIE LEITER RPT PA
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6075 SW 72 STREET SUITE 203
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5000
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Country | US
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Telephone | 305-662-2800
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Fax | 305-668-3117
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Provider Business Mailing Address
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Address Line | 8613 SW 80 COURT
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City | MIAMI
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State | FL
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Zip | 33143-7036
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Country | US
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Telephone | 305-662-2800
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Fax | 305-668-3117
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MS. DEBORAR LYN LEITER
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Credential | PT
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Telephone | 305-662-2800
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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 | PT4810FL
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License Number State | FL
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