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General NPI Number Information
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NPI Number | 1659705861
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Entity Type | Individual
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Provider Name | DANA K LESHOK CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2013
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 4 CENTRE DR
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City | CONESTOGA
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State | PA
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Zip | 17516-9683
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Country | US
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Telephone | 717-208-2096
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Fax | 717-283-4198
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Provider Business Mailing Address
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Address Line | 4 CENTRE DR
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City | CONESTOGA
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State | PA
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Zip | 17516-9683
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Country | US
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Telephone | 717-208-2096
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Fax | 717-283-4198
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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 | SP025680
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License Number State | PA
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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 | SP013115
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN524082L
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License Number State | PA
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