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General NPI Number Information
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NPI Number | 1235452038
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Entity Type | Individual
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Provider Name | JARED A LANEY MD, FNP
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Gender | Male
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 7703 FLOYD CURL DR # MC7736
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone | 210-567-4292
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Fax |
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Provider Business Mailing Address
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Address Line | 10622 BLUEGRASS POND
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City | SAN ANTONIO
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State | TX
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Zip | 78254-5321
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Country | US
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Telephone | 210-802-1791
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 839966
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | U6282
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R184418
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 725736
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License Number State | TX
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