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General NPI Number Information
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NPI Number | 1568212017
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Entity Type | Individual
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Provider Name | LISA MARIE SAIN NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 9835 N LAKE CREEK PKWY
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City | AUSTIN
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State | TX
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Zip | 78717-6210
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Country | US
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Telephone | 737-229-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 82 TERRAGLEN DR
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City | THE WOODLANDS
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State | TX
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Zip | 77382-1046
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Country | US
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Telephone | 936-718-6935
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 1155653
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License Number State | TX
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