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General NPI Number Information
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NPI Number | 1295177293
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Entity Type | Individual
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Provider Name | LEORA MICHELLE ALLEN AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 6121 MONTROSE RD UNIT 206
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City | ROCKVILLE
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State | MD
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Zip | 20852-4803
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Country | US
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Telephone | 301-770-8377
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Fax | 301-816-7716
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Provider Business Mailing Address
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Address Line | 6121 MONTROSE RD
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City | ROCKVILLE
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State | MD
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Zip | 20852-4803
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Country | US
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Telephone | 301-770-8377
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Fax | 301-816-7716
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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 | RN1043287
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License Number State | DC
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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 | 0024179747
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AC006212
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License Number State | MD
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