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General NPI Number Information
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NPI Number | 1265928428
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Entity Type | Individual
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Provider Name | PENNY DENISE LEININGER PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 25600 SW ARGYLE AVE
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City | WILSONVILLE
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State | OR
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Zip | 97070
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Country | US
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Telephone | 415-360-3348
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Fax |
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Provider Business Mailing Address
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Address Line | 4704 NW 13TH ST
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City | ANKENY
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State | IA
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Zip | 50023-9436
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Country | US
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Telephone |
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Fax | 718-691-7783
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60883491
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201900211NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11019833
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License Number State | FL
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