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General NPI Number Information
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NPI Number | 1437433794
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Entity Type | Individual
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Provider Name | LEIGH SCHMERSAHL ROSE CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 300 E MAIN ST STE E
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City | CARMEL
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State | IN
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Zip | 46032-1782
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Country | US
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Telephone | 317-210-3722
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Fax | 317-296-7211
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Provider Business Mailing Address
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Address Line | 300 E MAIN ST STE E
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City | CARMEL
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State | IN
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Zip | 46032-1782
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Country | US
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Telephone |
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Fax | 317-296-7211
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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 | 71010288A
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License Number State | IN
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