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General NPI Number Information
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NPI Number | 1831280403
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Entity Type | Individual
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Provider Name | LEIGH GAYLE POWERS DNP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 4400 E HIGHWAY 20 STE 313
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City | NICEVILLE
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State | FL
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Zip | 32578-7700
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Country | US
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Telephone | 507-972-5988
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Fax | 773-492-8765
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Provider Business Mailing Address
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Address Line | 4400 E HIGHWAY 20 STE 208
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City | NICEVILLE
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State | FL
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Zip | 32578-9735
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Country | US
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Telephone | 850-797-2598
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Fax | 773-492-8765
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 144049
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10692
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP9376651
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License Number State | FL
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