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General NPI Number Information
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NPI Number | 1144591546
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Entity Type | Individual
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Provider Name | DR. ANN LEIGH ENNEN
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Gender | Female
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 3434 MIDWAY DR NW
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City | CEDAR RAPIDS
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State | IA
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Zip | 52405-3506
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Country | US
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Telephone | 319-396-7800
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Fax | 319-396-3849
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Provider Business Mailing Address
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Address Line | 3434 MIDWAY DR NW
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City | CEDAR RAPIDS
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State | IA
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Zip | 52405-3506
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Country | US
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Telephone | 319-396-7800
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Fax | 319-396-3849
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 6420
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License Number State | IA
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