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General NPI Number Information
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NPI Number | 1740957562
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Entity Type | Individual
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Provider Name | LEAH MARIE GARDNER DPT
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Gender | Female
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Dates
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Enumeration Date | 08/28/2021
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 131 JPM RD
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City | LEWISBURG
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State | PA
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Zip | 17837-9309
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Country | US
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Telephone | 570-768-4421
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Fax | 570-428-9288
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Provider Business Mailing Address
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Address Line | 7 DOCK HILL RD
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City | MIDDLEBURG
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State | PA
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Zip | 17842-8910
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Country | US
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Telephone | 570-837-2123
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Fax | 570-837-2185
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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 | PT029807
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License Number State | PA
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