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NPI 1477027175

NPI 1477027175 : KARLI LEONE PA-C : PLAINVILLE, CT

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General NPI Number Information
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    NPI Number           |    1477027175
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    Entity Type          |    Individual 
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    Provider Name        |    KARLI LEONE PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/15/2019
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    Last Update Date     |    04/18/2025
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Provider Practice Location Address
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    Address Line         |    201 N MOUNTAIN RD STE 202 
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    City                 |    PLAINVILLE
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    State                |    CT
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    Zip                  |    06062-1848
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    Country              |    US
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    Telephone            |    860-696-2040
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    Fax                  |    860-696-2050
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Provider Business Mailing Address
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    Address Line         |    201 N MOUNTAIN RD STE 202 
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    City                 |    PLAINVILLE
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    State                |    CT
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    Zip                  |    06062-1848
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    Country              |    US
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    Telephone            |    860-696-2040
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    Fax                  |    860-696-2050
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    23.004300
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    License Number State |    CT
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