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General NPI Number Information
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NPI Number | 1568637288
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Entity Type | Individual
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Provider Name | LELA SAMPSON HERRING APN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 51 N DUNLAP ST STE 235
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City | MEMPHIS
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State | TN
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Zip | 38105-4625
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Country | US
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Telephone | 901-287-5316
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Fax | 901-287-4434
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Provider Business Mailing Address
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Address Line | 51 N DUNLAP ST STE 235
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City | MEMPHIS
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State | TN
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Zip | 38105-4625
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Country | US
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Telephone | 901-287-5316
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Fax | 901-287-4434
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN13194
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License Number State | TN
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