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General NPI Number Information
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NPI Number | 1366612046
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Entity Type | Individual
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Provider Name | LEIGH ANN LAWRENCE CLANTON RN CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 6285 PARK SOUTH DRIVE
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City | BESSEMER
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State | AL
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Zip | 35022
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Country | US
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Telephone | 205-426-5507
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Fax | 205-426-5563
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Provider Business Mailing Address
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Address Line | 833 ST VINCENTS DR SUITE 300
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1612
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Country | US
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Telephone | 205-212-5867
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Fax | 205-939-4519
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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 | 1074427
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License Number State | AL
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