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General NPI Number Information
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NPI Number | 1649316233
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Entity Type | Individual
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Provider Name | DORIS PLUNKETT SANFORD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 224 COURT SQ
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City | LEXINGTON
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State | MS
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Zip | 39095-3638
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Country | US
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Telephone | 662-834-1721
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Fax | 662-450-8088
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Provider Business Mailing Address
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Address Line | 22741 HIGHWAY 12
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City | LEXINGTON
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State | MS
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Zip | 39095-3118
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Country | US
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Telephone | 662-834-1721
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Fax | 662-834-1721
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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 | R589101
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | R589101
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License Number State | MS
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