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General NPI Number Information
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NPI Number | 1811383433
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Entity Type | Individual
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Provider Name | WENDY SUE LEROY ARNP-FNP
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Gender | Female
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 200 SE HOSPITAL AVE
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City | STUART
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State | FL
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Zip | 34994-2346
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Country | US
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Telephone | 772-223-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 10373 SW LIGUSTRUM DR
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34987-2875
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Country | US
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Telephone | 772-209-9865
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ARNP9288118
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RN9288118
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9288118
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License Number State | FL
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