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General NPI Number Information
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NPI Number | 1578157798
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Entity Type | Individual
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Provider Name | RICHARD WHITFIELD LEGGETT PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/28/2021
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Last Update Date | 02/28/2021
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Provider Practice Location Address
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Address Line | 2756 US HIGHWAY 64 E
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City | PLYMOUTH
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State | NC
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Zip | 27962-8903
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Country | US
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Telephone | 252-791-1006
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Fax |
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Provider Business Mailing Address
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Address Line | 1632 BROOK HOLLOW DR APT A
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City | GREENVILLE
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State | NC
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Zip | 27834-8590
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Country | US
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Telephone | 252-799-9047
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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 | P20279
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License Number State | NC
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