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General NPI Number Information
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NPI Number | 1639635022
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Entity Type | Organization
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Legal Business Name | LEIGH ANN HOWELL LLC
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 11242 S FOOTHILLS BLVD STE 18
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City | YUMA
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State | AZ
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Zip | 85367-7712
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Country | US
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Telephone | 928-210-1156
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Fax | 928-304-7170
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Provider Business Mailing Address
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Address Line | 12232 S LAUREL LN
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City | YUMA
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State | AZ
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Zip | 85367-4807
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Country | US
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Telephone | 928-210-1156
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Fax | 928-304-7170
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LEIGH ANN HOWELL
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Credential | FNP
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Telephone | 928-210-1156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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