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NPI 1144668500

NPI 1144668500 : SANDRA SALADINO EMBRY L.M. : CANTON, TX

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General NPI Number Information
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    NPI Number           |    1144668500
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    Entity Type          |    Individual 
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    Provider Name        |    SANDRA SALADINO EMBRY L.M.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2013
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    Last Update Date     |    06/07/2013
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Provider Practice Location Address
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    Address Line         |    542 E HIGHWAY 64 LOT 533 
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    City                 |    CANTON
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    State                |    TX
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    Zip                  |    75103-3311
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    Country              |    US
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    Telephone            |    469-632-4840
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    Fax                  |    972-584-9811
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Provider Business Mailing Address
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    Address Line         |    15752 COUNTY ROAD 4059 
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    City                 |    KEMP
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    State                |    TX
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    Zip                  |    75143
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    Country              |    US
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    Telephone            |    903-498-6346
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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        |    176B00000X
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    Taxonomy Name        |    Midwife
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    License Number       |    02006
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    License Number State |    TX
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