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General NPI Number Information
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NPI Number | 1295456671
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Entity Type | Individual
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Provider Name | ANNA MARIA GRAY-LEYKO AGCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 1001 S GEORGE ST
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City | YORK
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State | PA
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Zip | 17403-3676
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Country | US
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Telephone | 717-812-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 20203 RIDGE MEADOW RD
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City | STEWARTSTOWN
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State | PA
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Zip | 17363-7518
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Country | US
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Telephone | 717-683-5433
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Fax |
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | CNS000306
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License Number State | PA
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