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General NPI Number Information
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NPI Number | 1508938234
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Entity Type | Individual
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Provider Name | STEVEN D LEIGHTY P.T.
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 8516 N OAK TRFY
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City | KANSAS CITY
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State | MO
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Zip | 64155-2433
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Country | US
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Telephone | 816-436-4500
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Fax | 816-436-4510
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Provider Business Mailing Address
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Address Line | 5799 BROADMOOR ST SUITE 300
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City | MISSION
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State | KS
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Zip | 66202-2403
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Country | US
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Telephone | 913-384-5600
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Fax | 913-384-0719
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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 | 100897
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License Number State | MO
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