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General NPI Number Information
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NPI Number | 1770394645
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Entity Type | Individual
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Provider Name | LEEANN FLEMING MSN, RN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1736 FM 2011
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City | LONGVIEW
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State | TX
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Zip | 75603-4317
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Country | US
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Telephone | 903-736-1940
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Fax |
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Provider Business Mailing Address
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Address Line | 409 N 6TH ST
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City | LONGVIEW
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State | TX
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Zip | 75601-6536
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Country | US
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Telephone | 903-501-1747
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Fax | 903-234-9769
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 2024096348
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 2024096348
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1002503
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License Number State | TX
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