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General NPI Number Information
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NPI Number | 1023788817
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Entity Type | Individual
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Provider Name | LEONIE KELLY-ANN JAMES
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 6830 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2503
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Country | US
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Telephone | 813-783-3118
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Fax | 813-355-5036
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Provider Business Mailing Address
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Address Line | 38135 MARKET SQUARE DR
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-7539
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Country | US
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Telephone | 813-783-3118
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Fax | 813-355-5036
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11009171
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11009171
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License Number State | FL
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