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General NPI Number Information
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NPI Number | 1891489647
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Entity Type | Individual
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Provider Name | LUKE W LAEHY PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 9 W SUMMIT AVE
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City | ASHEVILLE
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State | NC
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Zip | 28803-0047
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Country | US
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Telephone | 828-944-4210
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Fax |
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Provider Business Mailing Address
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Address Line | 229 AIRPORT RD # 239
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City | ARDEN
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State | NC
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Zip | 28704-6402
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Country | US
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Telephone |
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | P22181
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License Number State | NC
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