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General NPI Number Information
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NPI Number | 1013804996
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Entity Type | Individual
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Provider Name | MEGAN LEONHARDT
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 113 COMANCHE RD
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City | FORT MEADE
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State | SD
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Zip | 57741-1002
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Country | US
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Telephone | 605-720-7145
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Fax |
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Provider Business Mailing Address
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Address Line | 3523 JARVIS CT
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City | STURGIS
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State | SD
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Zip | 57785-2761
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Country | US
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Telephone | 307-399-0949
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R057007
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License Number State | SD
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