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NPI 1194167478

NPI 1194167478 : ERIN WHITNEY LEONARD MS, CCC-SLP : REDMOND, OR

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General NPI Number Information
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    NPI Number           |    1194167478
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN WHITNEY LEONARD MS, CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2013
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    Last Update Date     |    05/03/2024
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Provider Practice Location Address
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    Address Line         |    3025 SW RESERVOIR DR 
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    City                 |    REDMOND
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    State                |    OR
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    Zip                  |    97756-9481
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    Country              |    US
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    Telephone            |    541-548-5066
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15201 SE REMINGTON RD 
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    City                 |    PRINEVILLE
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    State                |    OR
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    Zip                  |    97754-7695
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    Country              |    US
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    Telephone            |    541-359-7337
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    015094
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    15094
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    License Number State |    OR
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