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General NPI Number Information
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NPI Number | 1063363117
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Entity Type | Individual
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Provider Name | LEANNE MARIE LAIN DPT
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Gender | Female
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 107 S MILITARY RD STE 1
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City | SLIDELL
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State | LA
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Zip | 70461-4158
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Country | US
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Telephone | 985-641-2866
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Fax | 985-641-7998
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Provider Business Mailing Address
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Address Line | 107 S MILITARY RD STE 1
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City | SLIDELL
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State | LA
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Zip | 70461-4158
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Country | US
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Telephone | 985-641-2866
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Fax | 985-641-7998
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 12261
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12261
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License Number State | LA
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