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General NPI Number Information
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NPI Number | 1477275923
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Entity Type | Individual
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Provider Name | ALLISON LEIGH ROTH DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1205 COPPER CREEK DR
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City | PLEASANT HILL
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State | IA
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Zip | 50327-7002
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Country | US
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Telephone | 515-262-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 2818 NW WESTWOOD CT
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City | ANKENY
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State | IA
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Zip | 50023-1495
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Country | US
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Telephone | 515-231-5187
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F07221383
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License Number State | IA
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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 | A170558
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License Number State | IA
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