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General NPI Number Information
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NPI Number | 1467414995
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Entity Type | Individual
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Provider Name | KATRINA MARIE LESHER MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 400 GRESHAM DR STE 800
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City | NORFOLK
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State | VA
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Zip | 23507-1901
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Country | US
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Telephone | 757-668-9915
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Fax | 757-668-9925
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Provider Business Mailing Address
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Address Line | 400 GRESHAM DR STE 800
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City | NORFOLK
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State | VA
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Zip | 23507-1901
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Country | US
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Telephone | 757-668-9915
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Fax | 757-668-9925
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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 | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | ME106759
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | 0101233395
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License Number State | VA
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