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General NPI Number Information
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NPI Number | 1215920962
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Entity Type | Individual
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Provider Name | AMOREE LANAHA LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2005
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 2609 SW 33RD ST STE 101
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City | OCALA
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State | FL
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Zip | 34471-7775
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Country | US
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Telephone | 352-223-3186
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Fax | 352-620-2889
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Provider Business Mailing Address
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Address Line | PO BOX 2941
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City | OCALA
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State | FL
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Zip | 34478-2941
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Country | US
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Telephone | 352-223-3186
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Fax | 352-620-2889
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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 | SW5440
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License Number State | FL
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