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General NPI Number Information
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NPI Number | 1336493790
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Entity Type | Individual
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Provider Name | LESLIE L ALLEN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 3502 9TH ST STE 260
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City | LUBBOCK
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State | TX
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Zip | 79415-5305
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Country | US
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Telephone | 806-792-8185
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Fax | 806-792-9180
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Provider Business Mailing Address
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Address Line | 5219 CITY BANK PKWY STE 35
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City | LUBBOCK
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State | TX
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Zip | 79407-3545
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Country | US
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Telephone | 806-761-0333
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Fax | 806-785-7685
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP122731
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 775802
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License Number State | TX
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