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General NPI Number Information
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NPI Number | 1639701022
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Entity Type | Individual
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Provider Name | ANIKA ELAYNE LESLIE APRN-ACP
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Gender | Male
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1108 BRIAR CREEK RD
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City | LITTLE ROCK
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State | AR
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Zip | 72211-2402
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Country | US
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Telephone | 501-553-3590
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Fax | 228-356-4236
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Provider Business Mailing Address
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Address Line | 1108 BRIAR CREEK RD
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City | LITTLE ROCK
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State | AR
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Zip | 72211-2402
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Country | US
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Telephone | 501-553-3590
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Fax | 228-356-4236
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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 | 124003
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License Number State | AR
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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 | 101.0136702TELE
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License Number State | VT
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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 | 53-80978-011
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License Number State | KS
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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 | 1108659
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5017307
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License Number State | NC
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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 | 0024186793
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License Number State | VA
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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 | 209029015
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | R090467
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License Number State | AR
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 407812
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License Number State | NY
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