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General NPI Number Information
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NPI Number | 1841506490
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Entity Type | Individual
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Provider Name | LESLIE LUDWIG LPTA
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Gender | Female
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 5200 HARROUN RD
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City | SYLVANIA
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State | OH
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Zip | 43560
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Country | US
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Telephone | 419-824-1536
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Fax | 419-824-1773
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Provider Business Mailing Address
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Address Line | 6611 BURNHAM GREEN
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City | TOLEDO
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State | OH
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Zip | 43615
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Country | US
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Telephone | 419-699-9520
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA 7706
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 5502003204
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA07706
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License Number State | OH
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