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General NPI Number Information
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NPI Number | 1437645892
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Entity Type | Individual
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Provider Name | LEIGH ANNE COLLINS-VAZQUEZ ATECAS FNP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 7301 ROGERS AVE
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City | FORT SMITH
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State | AR
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Zip | 72903-4100
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Country | US
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Telephone | 479-573-3083
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Fax | 479-314-6159
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Provider Business Mailing Address
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Address Line | PO BOX 776084
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City | CHICAGO
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State | IL
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Zip | 60677-6084
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Country | US
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Telephone | 479-573-3083
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Fax | 479-314-6159
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60872229
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 213554
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95015059
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP60872229
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License Number State | WA
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