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General NPI Number Information
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NPI Number | 1285006312
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Entity Type | Individual
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Provider Name | LEAH ELISE LAGASSE DPT
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Gender | Female
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 9251 STONESTREET RD
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City | LOUISVILLE
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State | KY
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Zip | 40272-2858
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Country | US
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Telephone | 877-407-3422
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Fax | 877-407-4329
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Provider Business Mailing Address
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Address Line | 501 FOREST LANE SUITE A
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City | CLEMSON
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State | SC
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Zip | 29631
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Country | US
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Telephone | 864-654-2001
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Fax | 800-305-7112
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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 | PT4089
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9232
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License Number State | SC
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