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General NPI Number Information
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NPI Number | 1972448348
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Entity Type | Individual
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Provider Name | LEEANN GOWAN
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Gender | Female
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 500 22ND ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-3110
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Country | US
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Telephone | 205-996-3300
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Fax | 833-740-3644
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Provider Business Mailing Address
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Address Line | 114 HIGHVIEW CV
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City | PELHAM
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State | AL
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Zip | 35124-4015
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Country | US
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Telephone | 256-486-1773
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Fax |
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 23594
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License Number State | AL
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