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General NPI Number Information
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NPI Number | 1164559308
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Entity Type | Individual
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Provider Name | JANET LAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 48 EDGEWOOD AVE
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City | LARCHMONT
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State | NY
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Zip | 10538-2335
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Country | US
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Telephone | 914-834-8662
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Fax | 914-834-9187
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Provider Business Mailing Address
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Address Line | 48 EDGEWOOD AVE
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City | LARCHMONT
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State | NY
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Zip | 10538-2335
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Country | US
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Telephone | 914-834-8662
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Fax | 914-834-9187
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 136215
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License Number State | NY
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