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General NPI Number Information
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NPI Number | 1376317610
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Entity Type | Individual
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Provider Name | KATY LEEVER
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 11900 BARRYKNOLL LN
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City | HOUSTON
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State | TX
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Zip | 77024-4459
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Country | US
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Telephone | 713-932-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 2035 PAUL QUINN ST
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City | HOUSTON
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State | TX
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Zip | 77091-5435
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Country | US
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Telephone | 941-387-4282
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 22172761
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License Number State | TX
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