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General NPI Number Information
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NPI Number | 1871993147
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Entity Type | Individual
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Provider Name | CARRIE LYNN LANGLEY F.N.P. BC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2014
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 1142 S VAN DYKE RD
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City | BAD AXE
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State | MI
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Zip | 48413-9800
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Country | US
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Telephone | 989-269-7445
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Fax | 989-269-7490
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Provider Business Mailing Address
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Address Line | 1409 MIDLAND RD
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City | BAY CITY
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State | MI
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Zip | 48706-9474
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Country | US
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Telephone | 989-214-0153
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Fax | 989-269-7490
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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 | 4704208018
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License Number State | MI
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