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General NPI Number Information
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NPI Number | 1295322386
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Entity Type | Individual
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Provider Name | LESLIE LYNN HUFFMAN
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Gender | Female
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Dates
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Enumeration Date | 12/23/2020
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 5016 RIVERSIDE DR STE C
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City | DANVILLE
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State | VA
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Zip | 24541-5641
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Country | US
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Telephone | 419-788-7773
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Fax |
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Provider Business Mailing Address
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Address Line | 149 MILLERTON RD
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City | DANVILLE
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State | VA
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Zip | 24540-2815
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Country | US
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Telephone | 419-788-7773
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019018721
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33-022667
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License Number State | OH
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