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General NPI Number Information
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NPI Number | 1598569360
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Entity Type | Individual
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Provider Name | KATLYN MICHELLE LEBLANC DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1575 HIGHWAY 34 E STE B
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City | NEWNAN
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State | GA
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Zip | 30265-2401
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Country | US
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Telephone | 770-683-5042
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Fax | 678-877-8444
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Provider Business Mailing Address
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Address Line | 203 NARROWS PKWY STE D
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City | BIRMINGHAM
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State | AL
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Zip | 35242-8649
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Country | US
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Telephone | 770-683-5042
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Fax | 678-877-8444
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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 | PT017863
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License Number State | GA
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