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NPI 1235970187

NPI 1235970187 : SARAH EVELYN LEGOIS AU.D. : EAST LANSING, MI

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General NPI Number Information
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    NPI Number           |    1235970187
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH EVELYN LEGOIS AU.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/04/2024
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    Last Update Date     |    06/04/2024
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Provider Practice Location Address
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    Address Line         |    1500 ABBOT RD STE 400 
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    City                 |    EAST LANSING
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    State                |    MI
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    Zip                  |    48823-1956
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    Country              |    US
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    Telephone            |    517-332-0100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    519 LOUANN ST APT 1 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15223-1215
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    Country              |    US
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    Telephone            |    920-660-1066
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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        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    1601001160
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    License Number State |    MI
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