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General NPI Number Information
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NPI Number | 1447730585
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Entity Type | Individual
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Provider Name | SANDRA LINGENFELTER AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/17/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 3080 COLLEGE ST
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City | BEAUMONT
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State | TX
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Zip | 77701-4606
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Country | US
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Telephone | 409-212-6121
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Fax | 409-212-6779
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Provider Business Mailing Address
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Address Line | 4642 COLONY DR
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City | ORANGE
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State | TX
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Zip | 77632-6482
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Country | US
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Telephone | 409-781-6399
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP138500
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License Number State | TX
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