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General NPI Number Information
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NPI Number | 1588386528
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Entity Type | Individual
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Provider Name | LEISHA MARIE ANDERSON FOWLER APRN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 1301 HUFFMAN RD STE 100
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City | ANCHORAGE
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State | AK
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Zip | 99515-3568
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Country | US
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Telephone | 907-345-1199
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Fax | 307-345-5931
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Provider Business Mailing Address
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Address Line | 1301 HUFFMAN RD STE 100
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City | ANCHORAGE
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State | AK
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Zip | 99515-3568
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Country | US
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Telephone | 307-315-1199
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Fax | 307-345-5931
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 199403
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License Number State | AK
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