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General NPI Number Information
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NPI Number | 1720199276
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Entity Type | Individual
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Provider Name | JENNIFER LYNN LEONARD ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 600 MAPLE ST
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City | ATLANTIC
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State | IA
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Zip | 50022-1553
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Country | US
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Telephone | 160-526-1450
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Fax |
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Provider Business Mailing Address
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Address Line | 600 MAPLE ST
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City | ATLANTIC
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State | IA
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Zip | 50022-1553
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Country | US
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Telephone | 712-249-4910
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A120565
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 115179
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 454
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License Number State | SD
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