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General NPI Number Information
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NPI Number | 1497201156
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Entity Type | Individual
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Provider Name | LENG GAUV CRNP, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 01/31/2021
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Provider Practice Location Address
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Address Line | 9900 BREN ROAD EAST MAIL ROUTE MN 008-B213
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City | MINNETONKA
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State | MN
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Zip | 55343
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Country | US
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Telephone | 267-588-3613
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Fax |
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Provider Business Mailing Address
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Address Line | 413 PROSPECT RD
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City | SPRINGFIELD
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State | PA
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Zip | 19064-2909
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Country | US
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Telephone | 267-978-2189
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP015959
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License Number State | PA
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