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General NPI Number Information
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NPI Number | 1053223040
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Entity Type | Individual
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Provider Name | LEANNA SIMPSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 1160 MCDERMOTT DR
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City | WEST CHESTER
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State | PA
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Zip | 19380-4022
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Country | US
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Telephone | 610-436-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 PARKSIDE DR
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City | HAVERTOWN
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State | PA
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Zip | 19083-4229
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Country | US
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Telephone | 610-609-9093
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA068160
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License Number State | PA
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