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General NPI Number Information
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NPI Number | 1700515160
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Entity Type | Individual
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Provider Name | LEIGH TAYLOR KAUKER DPT
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Gender | Female
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 5584 AIRLINE RD STE 101
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City | ARLINGTON
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State | TN
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Zip | 38002-9528
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Country | US
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Telephone | 901-317-7054
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Fax | 901-317-7064
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Provider Business Mailing Address
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Address Line | 5584 AIRLINE RD STE 101
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City | ARLINGTON
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State | TN
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Zip | 38002-9528
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Country | US
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Telephone | 901-317-7054
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Fax | 901-317-7064
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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 | CP018460T
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14205
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License Number State | TN
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