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General NPI Number Information
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NPI Number | 1609506674
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Entity Type | Individual
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Provider Name | SARAH LINGEFELT
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Gender | Female
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 340 LONEWA LN
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City | MONROE
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State | LA
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Zip | 71203-6521
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Country | US
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Telephone | 318-372-8348
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 MITCHINER RD
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City | EPPS
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State | LA
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Zip | 71237-9020
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Country | US
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Telephone | 318-614-2587
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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 |
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License Number State |
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