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General NPI Number Information
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NPI Number | 1801612395
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Entity Type | Individual
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Provider Name | LEANNA SMOOT APRN
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Gender | Female
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1355 CONCRETE RD
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City | CARLISLE
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State | KY
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Zip | 40311-9392
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Country | US
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Telephone | 859-405-4024
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Fax | 859-405-4026
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Provider Business Mailing Address
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Address Line | 236 W MAIN ST
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City | MOUNT STERLING
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State | KY
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Zip | 40353-1348
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Country | US
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Telephone | 859-404-7686
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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 | 4026697
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License Number State | KY
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