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General NPI Number Information
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NPI Number | 1710482724
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Entity Type | Individual
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Provider Name | MORGAN LEICHTENBERGER AT, ATC
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Gender | Female
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 14110 BEN C PRATT/6 MILE CYPRESS PKWY
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City | FORT MYERS
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State | FL
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Zip | 33912-4314
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Country | US
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Telephone | 239-768-2032
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Fax |
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Provider Business Mailing Address
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Address Line | 14110 BEN C PRATT/6 MILE CYPRESS PKWY
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City | FORT MYERS
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State | FL
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Zip | 33912-4314
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 130245
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | ATR-009237
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 6853
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License Number State | FL
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