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General NPI Number Information
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NPI Number | 1649872334
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Entity Type | Individual
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Provider Name | PATRICK ST. LEGER FNP-C
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Gender | Male
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 4645 NW 8TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32605-4524
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Country | US
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Telephone | 352-375-1212
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Fax | 352-371-4650
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Provider Business Mailing Address
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Address Line | 4645 NW 8TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32605-4524
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Country | US
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Telephone | 352-375-1212
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Fax | 352-371-4650
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN9434475
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License Number State | FL
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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 | APRN11010456
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License Number State | FL
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