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General NPI Number Information
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NPI Number | 1538574934
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Entity Type | Individual
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Provider Name | LEIGH ANNE MORENUS NP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 12750 SAINT FRANCIS DR
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City | CROWN POINT
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State | IN
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Zip | 46307-0264
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Country | US
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Telephone | 219-488-1374
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Fax | 219-274-1000
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Provider Business Mailing Address
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Address Line | 12750 SAINT FRANCIS DR
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City | CROWN POINT
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State | IN
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Zip | 46307-0264
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Country | US
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Telephone | 219-488-1374
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Fax | 219-274-1000
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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 | 1-118219
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License Number State | AL
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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 | 71011359A
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License Number State | IN
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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 | 209.018310
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 71011359A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28262179A
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License Number State | IN
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