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General NPI Number Information
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NPI Number | 1861433187
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Entity Type | Individual
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Provider Name | MELISSA N LEUENBERGER APRN
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 391 W TOM T HALL BLVD
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City | OLIVE HILL
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State | KY
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Zip | 41164-7688
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Country | US
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Telephone | 606-286-8039
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Fax | 606-286-6108
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Provider Business Mailing Address
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Address Line | PO BOX 1595
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City | ASHLAND
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State | KY
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Zip | 41105-1595
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Country | US
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Telephone | 606-408-6200
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Fax | 606-408-6612
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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 | 3003705
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License Number State | KY
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