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General NPI Number Information
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NPI Number | 1497906283
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Entity Type | Individual
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Provider Name | LESLIE RENEE PING CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 2900 1ST AVE SUITE 6019
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City | HUNTINGTON
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State | WV
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Zip | 25702-1241
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Country | US
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Telephone | 304-399-0137
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Fax | 304-399-0138
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Provider Business Mailing Address
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Address Line | 5840 DAVIS CREEK RD STE E
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1004
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Country | US
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Telephone | 304-736-6126
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Fax | 304-736-1531
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 64649
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License Number State | WV
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