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General NPI Number Information
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NPI Number | 1063170215
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Entity Type | Individual
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Provider Name | LESLIE MORGAN MCKINNEY APRN, CNM
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Gender | Female
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 108 WASHINGTON ST W STE 201
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City | CHARLESTON
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State | WV
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Zip | 25302-2344
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Country | US
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Telephone | 304-345-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 97 GREAT TEAYS BLVD STE 6
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City | SCOTT DEPOT
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State | WV
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Zip | 25560-9816
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Country | US
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Telephone | 304-757-6999
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 75095
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 112089
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License Number State | WV
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