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General NPI Number Information
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NPI Number | 1548132095
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Entity Type | Individual
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Provider Name | RANIJA LESHAY KING
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Gender | Female
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 113 W BROAD ST
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City | STATESVILLE
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State | NC
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Zip | 28677-5257
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Country | US
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Telephone | 980-495-8720
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | BELMONT
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State | NC
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Zip | 28012-0749
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Country | US
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Telephone | 704-869-2088
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 17889
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 7729
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License Number State | SC
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