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General NPI Number Information
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NPI Number | 1861766537
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Entity Type | Organization
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Legal Business Name | LEALIA SKINNER-SAPP
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 7 LESLIE LN
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City | MONROE
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State | LA
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Zip | 71203-2783
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Country | US
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Telephone | 318-789-8970
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Fax |
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Provider Business Mailing Address
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Address Line | 7 LESLIE LN
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City | MONROE
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State | LA
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Zip | 71203-2783
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Country | US
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Telephone | 318-789-8970
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MS. LEALIA D SKINNER-SAPP
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Credential | NP
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Telephone | 318-789-8970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | AP06510
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License Number State | LA
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