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General NPI Number Information
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NPI Number | 1467266916
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Entity Type | Individual
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Provider Name | JESSICA LEPPLA NP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 700 S PARK ST
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City | MADISON
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State | WI
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Zip | 53715-1830
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Country | US
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Telephone | 608-260-2905
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Fax |
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Provider Business Mailing Address
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Address Line | 1257 COUNTY ROAD BB
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City | DEERFIELD
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State | WI
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Zip | 53531-9611
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Country | US
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Telephone | 608-228-1042
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 16451-33
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License Number State | WI
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