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General NPI Number Information
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NPI Number | 1619477981
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Entity Type | Individual
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Provider Name | LEANDRA PEACOCK SMITH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 902 PRESKITT RD STE 200
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City | DECATUR
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State | TX
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Zip | 76234-4121
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Country | US
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Telephone | 940-626-1848
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Fax | 940-626-1849
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Provider Business Mailing Address
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Address Line | 1816 S FM 51 SUITE 400, BOX #130
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City | DECATUR
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State | TX
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Zip | 76234
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Country | US
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Telephone | 940-626-1849
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Fax | 940-626-1849
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11037134
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP142651
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 319262
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP031955
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP142651
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15269300
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 406514
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License Number State | NY
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