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NPI 1285824607

NPI 1285824607 : JANET LESKO FREEMAN P.T : SPRING HILL, FL

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General NPI Number Information
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    NPI Number           |    1285824607
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    Entity Type          |    Individual 
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    Provider Name        |    JANET LESKO FREEMAN P.T
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/01/2007
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    Last Update Date     |    08/01/2007
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Provider Practice Location Address
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    Address Line         |    11573 TRUMBULL DR 
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    City                 |    SPRING HILL
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    State                |    FL
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    Zip                  |    34609-5671
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    Country              |    US
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    Telephone            |    352-683-6306
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    Fax                  |    352-688-3778
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Provider Business Mailing Address
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    Address Line         |    11573 TRUMBULL DR 
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    City                 |    SPRING HILL
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    State                |    FL
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    Zip                  |    34609-5671
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    Country              |    US
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    Telephone            |    352-683-6306
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    Fax                  |    352-688-3778
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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       |    PT0002453
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    License Number State |    FL
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