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General NPI Number Information
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NPI Number | 1548511850
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Entity Type | Individual
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Provider Name | SARA LANGAN
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Gender | Female
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 320 W 24TH ST
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City | KEARNEY
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State | NE
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Zip | 68845-5331
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Country | US
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Telephone | 308-698-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 823 E 48TH ST
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City | KEARNEY
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State | NE
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Zip | 68847-8427
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Country | US
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Telephone | 308-340-4222
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 322
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License Number State | NE
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