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General NPI Number Information
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NPI Number | 1114565538
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Entity Type | Individual
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Provider Name | LASHANDRA NICOLE SAULSBERRY
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Gender | Female
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 5865 RIDGEWAY CENTER PKWY STE 300
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City | MEMPHIS
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State | TN
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Zip | 38120-4014
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Country | US
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Telephone | 901-602-2935
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Fax | 901-589-8768
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Provider Business Mailing Address
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Address Line | 5865 RIDGEWAY CENTER PKWY STE 300
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City | MEMPHIS
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State | TN
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Zip | 38120-4014
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Country | US
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Telephone | 901-820-4600
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Fax | 901-767-0704
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26914
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License Number State | TN
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