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General NPI Number Information
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NPI Number | 1225159346
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Entity Type | Individual
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Provider Name | LEIGH ANN MOORE OTR
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 3201 E PRESIDENT GEORGE BUSH HWY STE 103
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City | RICHARDSON
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State | TX
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Zip | 75082-3565
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Country | US
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Telephone | 972-470-5005
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Fax | 972-470-5009
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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Country | US
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Telephone |
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 105495
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License Number State | TX
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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 |
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License Number State |
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