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General NPI Number Information
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NPI Number | 1457802878
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Entity Type | Individual
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Provider Name | LEAH MCGRATH
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Gender | Female
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 8301 E. PRENTICE AVE SUITE 207
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City | ENGLEWOOD
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State | CO
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Zip | 80112
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Country | US
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Telephone | 719-630-8099
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Fax |
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Provider Business Mailing Address
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Address Line | 785 S AVENIDA DEL ORO E
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City | PUEBLO WEST
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State | CO
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Zip | 81007-2032
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Country | US
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Telephone | 719-214-7511
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA.0000780
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License Number State | CO
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