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General NPI Number Information
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NPI Number | 1053880211
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Entity Type | Individual
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Provider Name | SAAGHE MMBI FOGWE FNP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2018
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Last Update Date | 11/17/2018
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Provider Practice Location Address
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Address Line | 1475 HERITAGE PKWY STE 225
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City | MANSFIELD
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State | TX
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Zip | 76063-2740
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Country | US
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Telephone | 817-453-7522
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Fax | 866-665-6659
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Provider Business Mailing Address
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Address Line | 8108 MODESTO DR
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City | ARLINGTON
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State | TX
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Zip | 76001-8545
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Country | US
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Telephone | 817-793-0742
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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 | F11180518
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License Number State | TX
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