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General NPI Number Information
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NPI Number | 1154560019
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Entity Type | Individual
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Provider Name | PRISCILLA SPACIE LANE LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/16/2009
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Last Update Date | 02/16/2009
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Provider Practice Location Address
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Address Line | 411 OAK ST
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City | CINCINNATI
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State | OH
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Zip | 45219-2504
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Country | US
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Telephone | 513-984-1800
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Fax | 513-984-4909
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Provider Business Mailing Address
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Address Line | 411 OAK ST
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City | CINCINNATI
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State | OH
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Zip | 45219-2504
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Country | US
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Telephone | 513-984-1800
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Fax | 513-984-4909
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 50639
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12809
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License Number State | CA
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