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General NPI Number Information
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NPI Number | 1023282191
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Entity Type | Organization
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Legal Business Name | DR. FRANCIS LANSANG, MD PA
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 717 W 2ND ST
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City | MULESHOE
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State | TX
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Zip | 79347-3640
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Country | US
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Telephone | 806-272-4495
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Fax | 806-272-8911
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Provider Business Mailing Address
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Address Line | 717 W 2ND ST
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City | MULESHOE
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State | TX
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Zip | 79347-3640
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Country | US
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Telephone | 806-272-4495
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Fax | 806-272-8911
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Authorized Official
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Title or Position | ADMIN. ASSISTANT/CREDENTIALING
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Name | MS. LORI E DAVIS
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Credential |
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Telephone | 806-272-4524
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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 | M4999
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | M4999
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License Number State | TX
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