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General NPI Number Information
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NPI Number | 1235691650
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Entity Type | Individual
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Provider Name | PAMELA VIEIRA LANE DO
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Gender | Female
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 911 BYPASS RD BLDG A
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City | PIKEVILLE
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State | KY
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Zip | 41501-1602
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Country | US
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Telephone | 606-430-3500
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Fax | 606-218-4697
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Provider Business Mailing Address
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Address Line | 5100 COCONUT CREEK PKWY
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City | MARGATE
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State | FL
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Zip | 33063-3913
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Country | US
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Telephone | 954-281-7700
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Fax | 954-715-7603
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TP924
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS17893
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License Number State | FL
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