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General NPI Number Information
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NPI Number | 1801534425
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Entity Type | Individual
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Provider Name | ZOEY LEPARD
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Gender | Female
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 25 BULLSBORO DR
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City | NEWNAN
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State | GA
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Zip | 30263-1570
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Country | US
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Telephone | 770-407-8729
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Fax |
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Provider Business Mailing Address
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Address Line | 38 E HAYNES ST
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City | NEWNAN
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State | GA
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Zip | 30263-2216
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Country | US
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Telephone | 865-437-9048
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD004326
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License Number State | GA
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