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General NPI Number Information
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NPI Number | 1386611325
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Entity Type | Individual
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Provider Name | REBECCA L LEGG MD
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 1717 S J ST
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City | TACOMA
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State | WA
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Zip | 98405-4933
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Country | US
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Telephone | 844-364-2778
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Fax | 253-428-8440
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Provider Business Mailing Address
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Address Line | 1717 S J ST
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City | TACOMA
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State | WA
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Zip | 98405-4933
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Country | US
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Telephone | 844-364-2778
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Fax | 253-428-8440
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 31093
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | M-11140
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD60201024
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License Number State | WA
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