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General NPI Number Information
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NPI Number | 1770993420
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Entity Type | Individual
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Provider Name | SANDRA DENISE EASTLING C.N.M., WHNP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2014
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Last Update Date | 12/14/2019
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Provider Practice Location Address
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Address Line | 301 40TH ST
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City | LUBBOCK
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State | TX
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Zip | 79404-2746
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Country | US
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Telephone | 806-743-9355
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Fax | 806-743-9363
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Provider Business Mailing Address
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Address Line | 301 40TH ST
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City | LUBBOCK
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State | TX
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Zip | 79404-2746
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Country | US
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Telephone | 806-743-9355
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Fax | 806-743-9363
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 71505
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 841562
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP126846
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License Number State | TX
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