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General NPI Number Information
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NPI Number | 1952369928
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Entity Type | Individual
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Provider Name | GARY L LEFFELMAN ARNP
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 6339 ARGYLE FOREST BLVD STE 2
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6601
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Country | US
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Telephone | 904-777-6228
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Fax | 904-777-6722
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Provider Business Mailing Address
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Address Line | 6520 FORT CAROLINE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32277-2044
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Country | US
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Telephone | 904-744-7300
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Fax | 904-722-4271
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP2037292
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License Number State | FL
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