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General NPI Number Information
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NPI Number | 1770141442
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Entity Type | Individual
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Provider Name | LEIGH ELLEN STEPHENSON DNP, APRN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 710 N 7TH ST
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City | KANSAS CITY
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State | KS
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Zip | 66101-3051
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Country | US
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Telephone | 913-573-8914
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Fax |
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Provider Business Mailing Address
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Address Line | 1704 ARCHER DR
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City | RAYMORE
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State | MO
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Zip | 64083-7875
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Country | US
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Telephone | 256-975-2414
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 78233
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License Number State | KS
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