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General NPI Number Information
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NPI Number | 1336815174
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Entity Type | Individual
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Provider Name | LEELA SCHAUNA KONRADD DNP-FNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 1320 APPLE AVE STE 203
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City | CHERRYLAND
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State | CA
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Zip | 94541-1552
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Country | US
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Telephone | 510-470-9989
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 S MAIN ST
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5318
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 809233
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95032583
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License Number State | CA
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