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General NPI Number Information
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NPI Number | 1417820093
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Entity Type | Individual
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Provider Name | KASEY JO LEVERETT
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 401 CHEYENNE
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City | SATANTA
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State | KS
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Zip | 67870-8748
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Country | US
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Telephone | 162-068-2841
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Fax | 620-649-3437
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Provider Business Mailing Address
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Address Line | 305 S GLEN ST
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City | SUBLETTE
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State | KS
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Zip | 67877-6702
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Country | US
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Telephone |
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | T-06409
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License Number State | KS
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