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General NPI Number Information
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NPI Number | 1033518923
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Entity Type | Individual
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Provider Name | LEANNE LOUIS
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Gender | Female
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 129 E CENTER STREET #3
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City | MANTECA
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State | CA
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Zip | 95336
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Country | US
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Telephone | 209-239-5553
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Fax | 209-239-5978
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Provider Business Mailing Address
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Address Line | 1735 W WILLOW ST
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City | STOCKTON
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State | CA
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Zip | 95203-1541
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Country | US
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Telephone | 209-637-6262
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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