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General NPI Number Information
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NPI Number | 1033284542
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Entity Type | Individual
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Provider Name | MILDRED D. LANE ED.D., NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5000 MCKNIGHT RD SUITE 305
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City | PITTSBURGH
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State | PA
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Zip | 15237-3420
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Country | US
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Telephone | 412-486-1785
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Fax | 412-396-4159
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Provider Business Mailing Address
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Address Line | 1605 SAPLING DR
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City | ALLISON PARK
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State | PA
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Zip | 15101-4020
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Country | US
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Telephone | 412-486-1785
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Fax | 412-396-1340
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC000357
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License Number State | PA
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