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General NPI Number Information
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NPI Number | 1093888000
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Entity Type | Individual
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Provider Name | LESLIE P DAVIS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 100 WINTERS ST STE 103
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City | WEST POINT
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State | VA
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Zip | 23181-9534
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Country | US
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Telephone | 804-843-9033
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Fax | 804-843-9037
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Provider Business Mailing Address
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Address Line | PO BOX 69030
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City | BALTIMORE
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State | MD
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Zip | 21264-9030
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Country | US
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Telephone | 757-873-2306
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Fax | 757-873-2306
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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 | 2305204768
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License Number State | VA
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