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General NPI Number Information
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NPI Number | 1285229310
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Entity Type | Individual
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Provider Name | ILANA NADIA LEONARD PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 5901 MACARTHUR BLVD NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2541
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Country | US
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Telephone | 202-349-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 6118 MASSACHUSETTS AVE
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City | BETHESDA
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State | MD
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Zip | 20816-2040
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Country | US
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Telephone | 240-423-2297
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 28249
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License Number State | MD
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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 | PT872747
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License Number State | DC
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