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General NPI Number Information
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NPI Number | 1235303371
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Entity Type | Individual
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Provider Name | LEANNA J SMITH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2008
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 2137 LAKESIDE DR STE 100
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City | LYNCHBURG
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State | VA
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Zip | 24501-6806
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Country | US
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Telephone | 434-385-4184
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Fax | 434-929-1098
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Provider Business Mailing Address
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Address Line | 2137 LAKESIDE DR SUITE 100
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City | LYNCHBURG
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State | VA
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Zip | 24501-6806
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Country | US
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Telephone | 434-385-4184
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Fax | 434-385-8616
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 0001195528
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License Number State | VA
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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 | 0024167879
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License Number State | VA
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