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General NPI Number Information
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NPI Number | 1962727503
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Entity Type | Individual
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Provider Name | GINA LEIGH HAEUSSNER MD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2329 W MAIN ST STE 201
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City | LITTLETON
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State | CO
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Zip | 80120-8200
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Country | US
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Telephone | 720-532-1856
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Fax |
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Provider Business Mailing Address
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Address Line | 2329 W MAIN ST STE 201
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City | LITTLETON
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State | CO
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Zip | 80120-8200
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Country | US
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Telephone | 720-532-1856
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Fax | 609-222-8401
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR.0053706
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License Number State | CO
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