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NPI 1457555740

NPI 1457555740 : LEANNE RENEE KAUFFMAN DPT : BURIEN, WA

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General NPI Number Information
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    NPI Number           |    1457555740
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    Entity Type          |    Individual 
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    Provider Name        |    LEANNE RENEE KAUFFMAN DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/12/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1031 SW 130TH ST 
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    City                 |    BURIEN
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    State                |    WA
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    Zip                  |    98146-3132
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    Country              |    US
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    Telephone            |    206-242-3213
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2400 ELLIOTT AVE #227
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98121-1397
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    Country              |    US
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    Telephone            |    717-538-2303
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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       |    PT00009885
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    License Number State |    WA
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