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General NPI Number Information
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NPI Number | 1558315408
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Entity Type | Individual
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Provider Name | LEIGH JARVIS OROZCO FNP
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15921 BOUNDARY DR
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City | ASHLAND
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State | MS
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Zip | 38603-7740
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Country | US
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Telephone | 662-224-5891
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Fax | 662-224-6801
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Provider Business Mailing Address
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Address Line | 366 CHESTERVILLE RD
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City | TUPELO
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State | MS
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Zip | 38801-8918
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Country | US
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Telephone | 662-844-6446
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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 | R697435
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License Number State | MS
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