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General NPI Number Information
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NPI Number | 1528174240
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Entity Type | Individual
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Provider Name | JENNY REBECCA LEGGE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3114 CROASDAILE DR
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City | DURHAM
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State | NC
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Zip | 27705-2508
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Country | US
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Telephone | 199-737-5409
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Fax |
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Provider Business Mailing Address
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Address Line | 543 MEADOWOOD DR
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City | BURLINGTON
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State | NC
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Zip | 27215-4679
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Country | US
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Telephone | 336-260-9548
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03226375
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 03226375
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License Number State | OH
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