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General NPI Number Information
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NPI Number | 1134052418
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Entity Type | Individual
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Provider Name | LEAH PONCE
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 13001 E 17TH PL
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City | AURORA
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State | CO
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Zip | 80045-2570
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Country | US
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Telephone | 303-724-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 509 APEX RISE ST
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City | ERIE
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State | CO
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Zip | 80516-9546
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Country | US
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Telephone | 575-740-7973
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 1695433
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License Number State | CO
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