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General NPI Number Information
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NPI Number | 1144848920
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Entity Type | Individual
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Provider Name | CARINA ELIZABETH LANE
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Gender | Female
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 3009 98TH ST
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City | HIGHLAND
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State | IN
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Zip | 46322-3343
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Country | US
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Telephone | 773-954-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 7951 CALUMET AVE # 1155
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City | MUNSTER
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State | IN
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Zip | 46321-1215
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Country | US
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Telephone | 773-312-3877
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33013186A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.117138
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License Number State | IL
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