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General NPI Number Information
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NPI Number | 1215985510
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Entity Type | Individual
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Provider Name | LESLIE JEAN HERON APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 1100 FAIRVIEW AVENUE N, LF-261, FRED HUTCHINSON CANCER RESEARCH CENTER
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City | SEATTLE
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State | WA
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Zip | 98109-1024
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Country | US
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Telephone | 206-667-3249
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Fax | 206-667-1502
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Provider Business Mailing Address
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Address Line | 1100 FAIRVIEW AVENUE N, LF-261, (PO BOX 19024) FRED HUTCHINSON CANCER RESEARCH CENTER
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City | SEATTLE
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State | WA
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Zip | 98109-1024
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Country | US
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Telephone | 206-667-3249
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Fax | 206-667-1502
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP30003429
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30073429
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00086540
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP30073429
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License Number State | WA
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