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General NPI Number Information
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NPI Number | 1568869451
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Entity Type | Individual
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Provider Name | LEAH OWENS-ROE APRN, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 1 CHILDRENS PLZ
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City | DAYTON
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State | OH
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Zip | 45404-1815
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Country | US
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Telephone | 937-641-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1 OVERLOOK DR
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City | FRANKLIN
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State | OH
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Zip | 45005-6513
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Country | US
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Telephone | 937-746-3204
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN246912
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | OH3085478
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN.CNP.0027105
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License Number State | OH
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