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General NPI Number Information
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NPI Number | 1811481930
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Entity Type | Individual
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Provider Name | LEAH KATHRYN AMBURN PT
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Gender | Female
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 07/05/2018
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Provider Practice Location Address
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Address Line | 2497 S ROANE ST STE 220
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City | HARRIMAN
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State | TN
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Zip | 37748
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Country | US
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Telephone | 865-882-9783
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Fax | 865-882-9548
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Provider Business Mailing Address
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Address Line | 1200 CORPORATE DR STE 400
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City | BIRMINGHAM
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State | AL
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Zip | 35242-5424
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Country | US
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Telephone | 423-238-8930
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Fax | 423-254-5217
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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 | 11846
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License Number State | TN
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