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General NPI Number Information
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NPI Number | 1033912381
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Entity Type | Individual
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Provider Name | MADELEINE LEIGH LABRECQUE NP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 5901 W OLYMPIC BLVD STE 505
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City | LOS ANGELES
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State | CA
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Zip | 90036-4670
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Country | US
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Telephone | 323-930-2324
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Fax |
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Provider Business Mailing Address
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Address Line | 12 VEAZY CIR
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City | BRENTWOOD
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State | NH
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Zip | 03833-6643
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Country | US
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Telephone | 603-617-9973
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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 | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 95308743
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License Number State | CA
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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 | F08240811
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License Number State | CA
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