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General NPI Number Information
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NPI Number | 1669421129
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Entity Type | Individual
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Provider Name | LEAH CHRISTINE EIDEN MD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 204 N MAIN ST
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City | BLUFFTON
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State | OH
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Zip | 45817-1284
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Country | US
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Telephone | 419-996-5002
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Fax | 419-996-5001
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Provider Business Mailing Address
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Address Line | 1740 N PERRY ST SUITE A
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City | OTTAWA
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State | OH
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Zip | 45875-1173
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Country | US
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Telephone | 419-523-0012
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Fax | 419-523-3416
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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 | 35075407
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License Number State | OH
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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 | 35.075407
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License Number State | OH
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