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General NPI Number Information
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NPI Number | 1316596539
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Entity Type | Individual
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Provider Name | KIMBERLY LESCHBER PT
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Gender | Female
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 11751 ALTA VISTA RD STE 301
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City | FORT WORTH
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State | TX
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Zip | 76244-6443
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Country | US
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Telephone | 817-337-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 1704 BELLECHASE DR
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City | KELLER
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State | TX
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Zip | 76262-4305
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Country | US
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Telephone | 512-269-8907
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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 | 1321883
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License Number State | TX
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