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General NPI Number Information
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NPI Number | 1821036450
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Entity Type | Individual
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Provider Name | LEILANI DE JESUS LAW NP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 9900 N CENTRAL EXPY SUITE 550
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City | DALLAS
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State | TX
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Zip | 75231-4395
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Country | US
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Telephone | 214-373-4321
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Fax | 214-373-4326
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Provider Business Mailing Address
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Address Line | PO BOX 845347
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City | DALLAS
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State | TX
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Zip | 75284-7208
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP108056
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 622010
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License Number State | TX
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