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General NPI Number Information
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NPI Number | 1962294744
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Entity Type | Individual
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Provider Name | LEONARD DAVID CARLSON ARNP
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Gender | Male
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 936 BARCARMIL WAY
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City | NAPLES
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State | FL
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Zip | 34110-0903
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Country | US
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Telephone | 239-265-3391
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Fax | 239-310-2035
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Provider Business Mailing Address
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Address Line | 936 BARCARMIL WAY
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City | NAPLES
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State | FL
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Zip | 34110-0903
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Country | US
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Telephone | 239-265-3391
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Fax | 239-310-2035
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11039321
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License Number State | FL
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