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General NPI Number Information
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NPI Number | 1730891623
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Entity Type | Individual
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Provider Name | LEIGH ANN TATTERSON MILLER PT
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Gender | Female
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 9885 GREENBELT RD
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City | LANHAM
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State | MD
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Zip | 20706-2302
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Country | US
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Telephone | 877-407-3422
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Fax | 877-407-4329
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Provider Business Mailing Address
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Address Line | 3505 MONARCH DR
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City | EDGEWATER
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State | MD
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Zip | 21037-2757
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Country | US
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Telephone | 410-991-4821
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Fax | 410-609-9968
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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 | 17292
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License Number State | MD
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