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General NPI Number Information
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NPI Number | 1588045231
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Entity Type | Individual
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Provider Name | LEEANN PENNINGTON RN
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Gender | Female
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 536 WILLIS LN
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City | DELAWARE
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State | OH
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Zip | 43015-1138
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Country | US
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Telephone | 740-513-0911
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Fax |
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Provider Business Mailing Address
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Address Line | 1856 COUNTY ROAD 219
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City | MARENGO
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State | OH
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Zip | 43334-9465
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Country | US
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Telephone | 740-815-6169
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN149354-M-IV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.438009
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License Number State | OH
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