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General NPI Number Information
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NPI Number | 1497172456
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Entity Type | Individual
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Provider Name | CASIE LEIGHTNER MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 1101 9TH ST SE
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City | SIOUX CENTER
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State | IA
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Zip | 51250-2501
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Country | US
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Telephone | 712-722-2609
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 9TH ST SE
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City | SIOUX CENTER
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State | IA
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Zip | 51250-2501
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Country | US
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Telephone | 712-722-2609
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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 | 1497172456
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11017517A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD-49356
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License Number State | IA
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