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General NPI Number Information
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NPI Number | 1043153810
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Entity Type | Individual
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Provider Name | LANA CARBONARA
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Gender | Female
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 1701 JFK BLVD FL 25
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City | PHILA
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State | PA
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Zip | 19103-2851
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Country | US
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Telephone | 215-330-2029
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Fax |
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Provider Business Mailing Address
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Address Line | 320 S 12TH ST APT 1F
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City | PHILA
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State | PA
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Zip | 19107-5940
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Country | US
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Telephone | 215-330-2029
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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 | RN719528
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License Number State | PA
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