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General NPI Number Information
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NPI Number | 1174970248
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Entity Type | Individual
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Provider Name | KAYLA LEER DPT
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Gender | Female
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 1560 S CAROL ST SUITE 150
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City | MERIDIAN
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State | ID
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Zip | 83646-1839
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Country | US
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Telephone | 208-287-9420
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Fax | 208-287-9426
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Provider Business Mailing Address
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Address Line | 3170 43RD ST S SUITE 101
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City | FARGO
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State | ND
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Zip | 58104-8908
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Country | US
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Telephone | 701-277-8448
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Fax | 701-277-8668
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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 | 1937
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License Number State | ND
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