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General NPI Number Information
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NPI Number | 1164668745
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Entity Type | Individual
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Provider Name | JACALYN S. LEU CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/02/2009
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 502 W HIGHLAND BLVD
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City | INVERNESS
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State | FL
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Zip | 34452-4720
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Country | US
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Telephone | 352-726-1551
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARK PLZ
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City | NASHVILLE
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State | TN
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Zip | 37203-6527
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Country | US
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Telephone | 615-344-9551
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 314826
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 11032701
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN291957L
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License Number State | PA
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