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General NPI Number Information
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NPI Number | 1134180003
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Entity Type | Individual
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Provider Name | LESLEY ELIZABETH FREELING PT
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Gender | Female
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5200 SW MACADAM AVE
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City | PORTLAND
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State | OR
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Zip | 97239-3843
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Country | US
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Telephone | 503-224-1998
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Fax | 503-224-5176
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Provider Business Mailing Address
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Address Line | 7925 SW 135TH AVE
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City | BEAVERTON
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State | OR
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Zip | 97008-6290
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Country | US
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Telephone | 503-644-1988
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Fax | 503-626-3638
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1453
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License Number State | OR
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