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General NPI Number Information
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NPI Number | 1386126225
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Entity Type | Individual
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Provider Name | LESLIE KATHRYN CARTER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 2220 EDWARD HOLLAND DR
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City | RICHMOND
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State | VA
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Zip | 23230-2519
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Country | US
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Telephone | 804-578-6514
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 N STAR DR
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2822
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Country | US
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Telephone | 301-640-6770
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119007322
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License Number State | VA
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