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General NPI Number Information
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NPI Number | 1194447490
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Entity Type | Organization
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Legal Business Name | LANI, LLC
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 6901 NW 107TH LN
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City | ALACHUA
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State | FL
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Zip | 32615-6934
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Country | US
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Telephone | 305-321-7471
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Fax |
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Provider Business Mailing Address
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Address Line | 152 TURKEY CRK
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City | ALACHUA
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State | FL
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Zip | 32615-9572
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Country | US
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Telephone | 352-514-8871
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MELISSA N LAMBERT
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Credential | OTR/L
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Telephone | 305-321-7471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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