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General NPI Number Information
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NPI Number | 1356642672
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Entity Type | Individual
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Provider Name | LEILA RICHELLE HEPP ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 6101 E HIGHWAY 54 STE E
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City | ATHOL
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State | ID
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Zip | 83801-6085
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Country | US
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Telephone | 855-928-8778
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Fax | 857-270-7313
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Provider Business Mailing Address
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Address Line | 6101 E HIGHWAY 54 STE E
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City | ATHOL
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State | ID
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Zip | 83801-6085
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Country | US
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Telephone | 855-928-8778
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Fax | 857-270-7313
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 75282
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 75282
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License Number State | ID
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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 | AP60194889
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License Number State | WA
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