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General NPI Number Information
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NPI Number | 1861338188
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Entity Type | Individual
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Provider Name | LEAH ELIZABETH ROYE FNP STUDENT
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 859 MOUNT VERNON HWY NE STE 200
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-4255
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Country | US
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Telephone | 808-853-8068
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Fax |
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Provider Business Mailing Address
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Address Line | 859 MOUNT VERNON HWY NE STE 200
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-4255
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Country | US
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Telephone | 808-853-8068
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 2461372
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License Number State | ID
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