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General NPI Number Information
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NPI Number | 1003576885
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Entity Type | Individual
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Provider Name | KATHRYN LEYRER NP
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Gender | Female
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Dates
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Enumeration Date | 12/21/2021
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 665 SAN RODOLFO DR STE 110
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2047
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Country | US
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Telephone | 858-554-1212
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Fax | 858-795-1195
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Provider Business Mailing Address
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Address Line | 9850 GENESEE AVE STE 320
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City | LA JOLLA
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State | CA
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Zip | 92037-1208
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Country | US
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Telephone | 858-554-1212
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Fax | 858-795-1195
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95031399
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License Number State | CA
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