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General NPI Number Information
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NPI Number | 1043546443
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Entity Type | Individual
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Provider Name | SANDRA LANG
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Gender | Female
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1400 MAIN ST
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City | FOLLANSBEE
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State | WV
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Zip | 26037-1202
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Country | US
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Telephone | 304-670-5534
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 MAIN ST
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City | FOLLANSBEE
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State | WV
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Zip | 26037-1202
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Country | US
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Telephone | 304-670-5534
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP010453
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | COA14433NP
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License Number State | OH
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