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General NPI Number Information
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NPI Number | 1285882829
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Entity Type | Individual
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Provider Name | LEANNE WHALEY OWENS PA
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Gender | Female
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 267 S CHURTON ST
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2695
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Country | US
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Telephone | 919-732-8131
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Fax | 919-732-6802
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Provider Business Mailing Address
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Address Line | 5400 TRINITY RD STE. 105
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City | RALEIGH
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State | NC
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Zip | 27607-6001
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Country | US
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Telephone | 919-851-2174
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Fax | 919-854-7774
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-01512
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License Number State | NC
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