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General NPI Number Information
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NPI Number | 1225402423
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Entity Type | Individual
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Provider Name | STEPHANIE LEACH NP
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Gender | Female
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Dates
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Enumeration Date | 11/25/2015
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 605 WILSON CREEK RD
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City | LAWRENCEBURG
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State | IN
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Zip | 47025-2506
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Country | US
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Telephone | 859-301-2663
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Fax |
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Provider Business Mailing Address
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Address Line | 560 S LOOP RD
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City | EDGEWOOD
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State | KY
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Zip | 41017-3405
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Country | US
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Telephone | 859-301-2663
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Fax | 859-817-7848
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN3016935
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP026069
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 71014107A
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License Number State | IN
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