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General NPI Number Information
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NPI Number | 1770298309
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Entity Type | Individual
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Provider Name | LESLEY HEMPHILL DNP, MS, FNP-C, CHES
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Gender | Female
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 1784 UINTA WAY # WA
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City | PARK CITY
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State | UT
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Zip | 84098-7669
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Country | US
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Telephone | 435-604-0160
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Fax |
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Provider Business Mailing Address
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Address Line | 1784 UINTA WAY UNIT E2
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City | PARK CITY
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State | UT
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Zip | 84098-7685
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Country | US
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Telephone | 435-604-0160
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4901790-4405
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License Number State | UT
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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 | F06240096
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License Number State | UT
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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 | 4901790-3102
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License Number State | UT
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