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General NPI Number Information
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NPI Number | 1336448158
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Entity Type | Individual
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Provider Name | JEANETTE CHAMPEAU LEITNER C.P.N.P., A.P.R.N
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Gender | Female
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 30 AULIKE ST STE 500
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City | KAILUA
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State | HI
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Zip | 96734-2752
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Country | US
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Telephone | 808-263-8822
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Fax |
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Provider Business Mailing Address
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Address Line | 30 AULIKE ST STE 500
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City | KAILUA
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State | HI
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Zip | 96734-2752
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Country | US
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Telephone | 808-263-8822
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1293
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License Number State | HI
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