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General NPI Number Information
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NPI Number | 1053924951
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Entity Type | Individual
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Provider Name | LEONA LESKO DNP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 188 W B ST STE O
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4593
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Country | US
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Telephone | 458-234-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 188 W B ST STE O
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4593
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Country | US
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Telephone | 458-234-6800
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 10006212
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License Number State | OR
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