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General NPI Number Information
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NPI Number | 1629563846
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Entity Type | Individual
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Provider Name | BROOKE LEONE
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Gender | Female
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 2032 DUNN AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32218-4716
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Country | US
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Telephone | 904-757-2008
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Fax |
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Provider Business Mailing Address
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Address Line | 6520 FORT CAROLINE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32277-2044
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Country | US
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Telephone | 904-745-3618
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Fax | 904-722-4271
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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 | ARNP9380490
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License Number State | FL
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