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General NPI Number Information
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NPI Number | 1275531873
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Entity Type | Individual
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Provider Name | LESLIE C VERUCCI NP
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Gender | Female
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 2600 GLASGOW AVENUE SUITE 100
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City | NEWARK
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State | DE
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Zip | 19702-4773
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Country | US
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Telephone | 302-836-8350
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Fax | 302-623-4850
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DRIVE SUITE 2300
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City | NEWARK
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State | DE
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Zip | 19713-2049
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Country | US
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Telephone | 302-733-0374
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Fax | 877-733-0370
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AC000109
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | LB-0000160
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LB-0000160
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License Number State | DE
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