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General NPI Number Information
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NPI Number | 1225298003
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Entity Type | Organization
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Legal Business Name | LEAP BEYOND THERAPY, LLC
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Dates
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Enumeration Date | 06/14/2008
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Last Update Date | 06/14/2008
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Provider Practice Location Address
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Address Line | 6915 BEECHMONT AVE
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City | CINCINNATI
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State | OH
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Zip | 45230-2909
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Country | US
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Telephone | 513-232-5327
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Fax | 513-232-2321
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Provider Business Mailing Address
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Address Line | 6915 BEECHMONT AVE
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City | CINCINNATI
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State | OH
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Zip | 45230-2909
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Country | US
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Telephone | 513-232-5327
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Fax | 513-232-2321
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MRS. RUTH E GRANT-BAILEY
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Credential |
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Telephone | 513-232-5327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 011557
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License Number State | OH
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