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General NPI Number Information
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NPI Number | 1598643116
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Entity Type | Individual
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Provider Name | LEAH CIPOLLA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 404 N MAIN ST
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City | BELTON
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State | TX
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Zip | 76513-3165
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Country | US
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Telephone | 828-301-6615
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Fax |
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Provider Business Mailing Address
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Address Line | 116 E LEGEND OAKS DR
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City | GEORGETOWN
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State | TX
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Zip | 78628-5010
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Country | US
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Telephone | 828-301-6615
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 116681
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License Number State | TX
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