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General NPI Number Information
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NPI Number | 1225450364
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Entity Type | Organization
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Legal Business Name | LAINE N.P.- ADULT HEALTH WELLNESS CARE P.C. INCORPORATED
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 10452 NW 48TH MNR
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-1730
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Country | US
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Telephone | 516-273-0163
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Fax |
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Provider Business Mailing Address
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Address Line | 539 DE MOTT AVE
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City | NORTH BALDWIN
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State | NY
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Zip | 11510-1321
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Country | US
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Telephone | 516-223-6088
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROSAIRE B LAINE
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Credential | APN-BC
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Telephone | 973-220-8313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | F304165-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 199824
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License Number State | NY
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