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General NPI Number Information
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NPI Number | 1912318460
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Entity Type | Individual
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Provider Name | WHITNEY JACQUELINE LEUENBERGER ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/17/2014
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 4121 W HIGHWAY 98
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City | PANAMA CITY
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State | FL
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Zip | 32401-1170
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Country | US
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Telephone | 850-804-3850
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Fax |
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Provider Business Mailing Address
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Address Line | 4205 BELFORT RD STE 4015
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City | JACKSONVILLE
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State | FL
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Zip | 32216-3623
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Country | US
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Telephone |
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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 | ARNP 9316060
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License Number State | FL
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Taxonomy #2
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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 | 9316060
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN93316060
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License Number State | FL
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