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General NPI Number Information
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NPI Number | 1326866427
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Entity Type | Individual
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Provider Name | LEIGH ANN TEMPLE
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1850 STATE ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-4990
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Country | US
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Telephone | 812-948-6742
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Fax |
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Provider Business Mailing Address
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Address Line | 11060 MAJESTIC BLVD SE
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City | ELIZABETH
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State | IN
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Zip | 47117-8081
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Country | US
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Telephone | 502-229-7958
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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 | 71015809A
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License Number State | IN
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