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General NPI Number Information
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NPI Number | 1508262486
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Entity Type | Individual
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Provider Name | LEIGH M KRESSLER CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 4520 BROAD ST
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City | LORIS
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State | SC
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Zip | 29569-2422
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Country | US
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Telephone | 843-756-0959
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Fax |
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Provider Business Mailing Address
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Address Line | 347 S BROADWAY STE 202
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City | WIND GAP
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State | PA
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Zip | 18091-1408
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Country | US
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Telephone | 610-636-7771
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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 | SP014558
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5022644
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 27143
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License Number State | SC
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