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General NPI Number Information
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NPI Number | 1134475973
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Entity Type | Individual
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Provider Name | BRITNY LEAF
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Gender | Female
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1060 HARRISON RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-3543
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Country | US
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Telephone | 719-579-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 7619 GRIZZLY ROSE WAY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-5501
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Country | US
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Telephone | 813-919-6379
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 15349
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.0008563
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License Number State | CO
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