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NPI 1093892440

NPI 1093892440 : LEIGH HAWKINS M.P.T. : AUGUSTA, GA

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General NPI Number Information
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    NPI Number           |    1093892440
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    Entity Type          |    Individual 
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    Provider Name        |    LEIGH HAWKINS M.P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1 FREEDOM WAY 
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    City                 |    AUGUSTA
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    State                |    GA
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    Zip                  |    30904-6258
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    Country              |    US
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    Telephone            |    706-733-0188
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    124 COVENTRY CIR 
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    City                 |    NORTH AUGUSTA
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    State                |    SC
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    Zip                  |    29860-9325
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    Country              |    US
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    Telephone            |    803-202-0354
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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       |    PT007392
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    283X00000X
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    Taxonomy Name        |    Rehabilitation Hospital
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    License Number       |    
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    License Number State |    
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