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General NPI Number Information
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NPI Number | 1285848549
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Entity Type | Individual
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Provider Name | LEAH RENAE CRUZE D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 591 NORTHSIDE DR SUITE 200
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City | ALEXANDRIA
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State | MN
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Zip | 56308
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Country | US
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Telephone | 320-445-0100
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Fax | 320-445-0098
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Provider Business Mailing Address
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Address Line | 591 NORTHSIDE DR NE STE 200
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City | ALEXANDRIA
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State | MN
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Zip | 56308-5063
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Country | US
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Telephone | 320-445-0100
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Fax | 320-445-0098
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 7696
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License Number State | MN
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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 | 7696
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License Number State | MN
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