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General NPI Number Information
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NPI Number | 1598150047
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Entity Type | Individual
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Provider Name | PAULA LEONTI
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Gender | Female
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 8830 S SEPULVEDA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90045-4833
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Country | US
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Telephone | 310-849-9567
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Fax | 310-693-8063
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Provider Business Mailing Address
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Address Line | 417 OCEAN AVE APT 2
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City | SEAL BEACH
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State | CA
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Zip | 90740-6050
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Country | US
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Telephone | 310-849-9567
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Fax | 310-693-8063
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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 | PT 42363
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License Number State | CA
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