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General NPI Number Information
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NPI Number | 1477417392
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Entity Type | Organization
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Legal Business Name | SANGER FAMILY MEDICAL CLINIC PLLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1000 SABLE AVE
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City | SANGER
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State | TX
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Zip | 76266
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Country | US
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Telephone | 940-634-7731
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Fax |
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Provider Business Mailing Address
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Address Line | 493 N RADIO HILL RD
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City | GAINESVILLE
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State | TX
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Zip | 76240-7635
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Country | US
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Telephone | 940-634-7731
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | RICK HARRISON
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Credential | CREDENTIALING
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Telephone | 732-743-5910
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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 |
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License Number State |
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