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General NPI Number Information
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NPI Number | 1346045648
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Entity Type | Individual
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Provider Name | ALEXIS KRISTINE LEAVERS
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Gender | Female
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 400 S COLORADO BLVD STE 640
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City | DENVER
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State | CO
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Zip | 80246-1239
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Country | US
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Telephone | 303-320-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 BELLAIRE ST
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City | DENVER
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State | CO
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Zip | 80207-1830
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Country | US
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Telephone | 330-691-0990
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PTL.0020425
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License Number State | CO
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