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General NPI Number Information
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NPI Number | 1629120233
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Entity Type | Organization
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Legal Business Name | LEIGHTON FAMILY HEALTH, INC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1960 1ST ST
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City | LEIGHTON
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State | AL
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Zip | 35646-3703
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Country | US
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Telephone | 256-446-6101
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Fax | 256-446-5757
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Provider Business Mailing Address
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Address Line | 1960 1ST ST
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City | LEIGHTON
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State | AL
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Zip | 35646-3703
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Country | US
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Telephone | 256-446-6101
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Fax | 256-446-5757
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Authorized Official
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Title or Position | OWNER
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Name | KAREN DEVANEY
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Credential | CRNP
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Telephone | 256-446-6101
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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 | 1057646
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License Number State | AL
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