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General NPI Number Information
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NPI Number | 1770417339
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Entity Type | Individual
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Provider Name | CRYSTAL LEIGH HARROD LMT
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Gender | Female
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 6463 LOUISVILLE RD
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City | BOWLING GREEN
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State | KY
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Zip | 42101-8009
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Country | US
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Telephone | 364-203-8190
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Fax |
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Provider Business Mailing Address
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Address Line | 6813 GLEN LILY RD
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City | BOWLING GREEN
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State | KY
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Zip | 42101-7803
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Country | US
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Telephone | 364-203-8190
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 293838
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 15024
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License Number State | TN
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