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General NPI Number Information
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NPI Number | 1619217627
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Entity Type | Individual
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Provider Name | KARLA WRIGHT LEATH CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 2340 SPRING FOREST RD
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City | RALEIGH
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State | NC
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Zip | 27615-7528
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Country | US
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Telephone | 757-753-0382
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 DARRELL DR
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City | GRAHAM
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State | NC
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Zip | 27253-3467
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Country | US
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Telephone | 757-753-0382
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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 | R162531
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License Number State | NC
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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 | R162531
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License Number State | MD
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