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General NPI Number Information
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NPI Number | 1548835143
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Entity Type | Organization
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Legal Business Name | SACHSE PEDIATRICS PLLC
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 4650 PRESIDENT GEORGE BUSH TPKE STE 108
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City | SACHSE
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State | TX
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Zip | 75048-4980
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Country | US
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Telephone | 469-715-3489
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Fax | 469-715-3490
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Provider Business Mailing Address
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Address Line | 4650 PRESIDENT GEORGE BUSH TPKE STE 108
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City | SACHSE
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State | TX
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Zip | 75048-4980
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Country | US
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Telephone | 469-715-3489
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Fax | 469-715-3490
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Authorized Official
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Title or Position | CPNP (OWNER)
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Name | MS. SAMANTHA L PARSONS
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Credential | CPNP
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Telephone | 214-803-2404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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