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General NPI Number Information
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NPI Number | 1306921473
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Entity Type | Organization
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Legal Business Name | LEAPS & BOUNDS THERAPETUIC SOLUTIONS INC.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 331 S BROADWAY ST
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City | FOREST CITY
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State | NC
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Zip | 28043-3648
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Country | US
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Telephone | 828-247-4856
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Fax | 828-247-4857
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Provider Business Mailing Address
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Address Line | 331 S BROADWAY ST
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City | FOREST CITY
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State | NC
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Zip | 28043-3648
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Country | US
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Telephone | 828-247-4856
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Fax | 828-247-4857
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Authorized Official
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Title or Position | OWNER
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Name | PHILLIP E REYNOLDS
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Credential |
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Telephone | 828-247-4856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | NA
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License Number State | NC
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