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General NPI Number Information
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NPI Number | 1063139087
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Entity Type | Individual
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Provider Name | SILVIA ANN LEAKE NP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 701 N DUPONT BLVD
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City | MILFORD
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State | DE
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Zip | 19963-1003
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Country | US
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Telephone | 302-725-3420
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Fax | 302-725-3430
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Provider Business Mailing Address
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Address Line | 49 NIKKI CT
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City | FELTON
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State | DE
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Zip | 19943-6617
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Country | US
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Telephone | 302-222-6121
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0012108
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | L1-0031858
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License Number State | DE
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