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General NPI Number Information
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NPI Number | 1194179457
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Entity Type | Individual
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Provider Name | CEDANA CARROLL LANIG ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 3305 N CALAIS DR STE 200
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City | SHERMAN
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State | TX
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Zip | 75090-1796
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Country | US
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Telephone | 903-893-1116
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 837
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City | HOWE
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State | TX
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Zip | 75459-0837
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Country | US
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Telephone | 903-487-2248
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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 | R0071229
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License Number State | OK
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