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General NPI Number Information
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NPI Number | 1689471666
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Entity Type | Individual
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Provider Name | LESLEY MYERS OTD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | ST. JOSEPH OF THE PINES 103 GOSSMAN DR
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City | SOUTHERN PINES
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State | NC
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Zip | 28387
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Country | US
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Telephone | 910-246-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 480 STAR RIDGE RD
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City | CARTHAGE
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State | NC
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Zip | 28327-7535
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 15987
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License Number State | NC
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