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General NPI Number Information
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NPI Number | 1215439807
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Entity Type | Individual
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Provider Name | CHRISTOPHER ALLEN LANE JR. RBT
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Gender | Male
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 2035 HURLEY WAY STE 290
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City | SACRAMENTO
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State | CA
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Zip | 95825-3221
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Country | US
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Telephone | 916-758-9768
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Fax | 916-550-1124
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Provider Business Mailing Address
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Address Line | 2035 HURLEY WAY STE 290
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City | SACRAMENTO
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State | CA
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Zip | 95825-3221
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Country | US
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Telephone | 916-758-9768
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Fax | 916-550-1124
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number | RBT-18-61333
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License Number State | OR
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