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General NPI Number Information
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NPI Number | 1033008149
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Entity Type | Individual
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Provider Name | LANI GILES CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 295 S JACKSON ST
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City | GROVE HILL
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State | AL
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Zip | 36451-3231
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Country | US
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Telephone | 251-275-3191
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Fax |
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Provider Business Mailing Address
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Address Line | 11730A WINDY WOODS
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City | SPANISH FORT
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State | AL
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Zip | 36527-8693
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Country | US
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Telephone | 251-213-1434
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-04731
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F07250054
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License Number State | AL
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