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General NPI Number Information
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NPI Number | 1346934866
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Entity Type | Individual
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Provider Name | SARA CHIGLO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 514 S BONHAM ST
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City | MEXIA
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State | TX
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Zip | 76667-3600
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Country | US
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Telephone | 254-562-9321
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 704
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City | GROESBECK
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State | TX
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Zip | 76642-0704
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Country | US
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Telephone | 254-747-1780
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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 | 1124670
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License Number State | TX
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