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General NPI Number Information
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NPI Number | 1225079155
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Entity Type | Individual
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Provider Name | W CRAIG LANNIN D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 1950 COURT ST
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City | REDDING
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State | CA
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Zip | 96001-1823
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Country | US
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Telephone | 530-243-4782
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Fax | 530-243-7013
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Provider Business Mailing Address
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Address Line | 1950 COURT ST
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City | REDDING
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State | CA
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Zip | 96001-1823
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Country | US
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Telephone | 530-243-4782
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Fax | 530-243-7013
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 20A5891
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License Number State | CA
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