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General NPI Number Information
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NPI Number | 1376155929
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Entity Type | Individual
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Provider Name | STEPHANY LECLAIR MSN, APRN, A-GNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 1340 CITIZENS BLVD
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City | LEESBURG
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State | FL
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Zip | 34748-3924
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Country | US
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Telephone | 352-435-7695
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Fax |
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Provider Business Mailing Address
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Address Line | 23442 VALDERAMA LN
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City | SORRENTO
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State | FL
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Zip | 32776-6936
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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 | 282725
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License Number State | NC
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