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General NPI Number Information
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NPI Number | 1790730950
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Entity Type | Individual
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Provider Name | LESLIE STOCKING-JOHNSON APRN
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 101 CENTERPOINT DR STE 215
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City | MIDDLETOWN
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State | CT
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Zip | 06457-7568
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Country | US
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Telephone | 888-964-6681
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Fax | 888-662-0859
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Provider Business Mailing Address
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Address Line | 214 FOOTE RD
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City | SOUTH GLASTONBURY
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State | CT
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Zip | 06073-3310
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Country | US
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Telephone | 860-384-2693
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1627
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License Number State | CT
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