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General NPI Number Information
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NPI Number | 1356875397
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Entity Type | Individual
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Provider Name | LESLIE MARIE STEGALL APRN
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Gender | Female
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 910 SOUTH ST
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City | GREENFIELD
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State | OH
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Zip | 45123-1249
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Country | US
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Telephone | 740-403-9108
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Fax | 937-462-1385
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Provider Business Mailing Address
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Address Line | 330 JEFFERSON ST
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City | GREENFIELD
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State | OH
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Zip | 45123-1369
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Country | US
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Telephone | 740-403-9108
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Fax | 937-462-1385
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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 | APRN.CNP.020690
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.020690
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License Number State | OH
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