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General NPI Number Information
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NPI Number | 1689152266
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Entity Type | Individual
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Provider Name | ASHLEIGH LAUREN KESTER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/05/2018
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 1 CHILDRENS PL
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1002
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Country | US
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Telephone | 314-769-4521
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Fax |
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Provider Business Mailing Address
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Address Line | 170 TUMBLEWEED PASS
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City | JACKSON
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State | MO
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Zip | 63755-8544
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Country | US
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Telephone | 573-450-1208
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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 | 2018028467
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License Number State | MO
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