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General NPI Number Information
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NPI Number | 1821852138
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Entity Type | Individual
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Provider Name | LADONNA LESLIE
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Gender | Female
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 9850 VON ALLMEN CT STE 201
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City | LOUISVILLE
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State | KY
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Zip | 40241-2855
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Country | US
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Telephone | 301-809-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3012 BOAIRES LN
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City | LOUISVILLE
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State | KY
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Zip | 40220-2428
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Country | US
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Telephone | 502-936-2376
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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 | 4036165
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License Number State | KY
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