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General NPI Number Information
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NPI Number | 1689006926
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Entity Type | Individual
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Provider Name | LEIGHA JOY FORD FNP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 851 DOUGLAS AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2085
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Country | US
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Telephone | 407-332-0003
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Fax | 321-295-7928
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 210-630-2207
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Fax | 407-286-4515
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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 | 4704244817
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License Number State | MI
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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 | APRN11019405
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License Number State | FL
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