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General NPI Number Information
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NPI Number | 1356489298
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Entity Type | Individual
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Provider Name | LEAH MICHELLE THOMPSON PT
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 133 DYLAN DR STE A
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City | PROSPER
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State | TX
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Zip | 75078-7905
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Country | US
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Telephone | 972-347-3770
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 RAIN FOREST DR
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City | MCKINNEY
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State | TX
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Zip | 75070-9483
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Country | US
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Telephone | 214-563-4040
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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 | 1131183
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License Number State | TX
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