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General NPI Number Information
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NPI Number | 1346358553
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Entity Type | Organization
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Legal Business Name | LEADER PHYSICAL THERAPY LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 5039 PARK AVE SUITE 102
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City | MEMPHIS
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State | TN
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Zip | 38117-5701
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Country | US
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Telephone | 901-818-9746
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Fax | 901-818-9741
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Provider Business Mailing Address
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Address Line | 5039 PARK AVE SUITE 102
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City | MEMPHIS
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State | TN
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Zip | 38117-5701
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Country | US
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Telephone | 901-818-9746
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Fax | 901-818-9741
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Authorized Official
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Title or Position | VP/AUTHORIZED OFFICIAL
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Name | JANNA P. KING
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Credential | JD
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Telephone | 713-297-7000
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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