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General NPI Number Information
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NPI Number | 1346716909
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Entity Type | Individual
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Provider Name | LESLIE MARIE METZLER FNP
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Gender | Female
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 125 AMENDMENT AVE
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City | ROCK HILL
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State | SC
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Zip | 29732
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Country | US
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Telephone | 803-329-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 165 AMENDMENT AVE
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City | ROCK HILL
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State | SC
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Zip | 29732-3036
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Country | US
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Telephone | 803-329-2700
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5017484
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 228895
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License Number State | SC
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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 | 228895
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License Number State | SC
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