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General NPI Number Information
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NPI Number | 1245660273
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Entity Type | Individual
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Provider Name | LANA O'NEILL NP
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Gender | Female
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 999 BLAKE AVE
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City | BROOKLYN
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State | NY
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Zip | 11208-3535
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Country | US
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Telephone | 718-277-8303
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Fax |
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Provider Business Mailing Address
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Address Line | 65 BROADWAY STE 1804
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City | NEW YORK
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State | NY
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Zip | 10006-2560
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Country | US
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Telephone | 212-430-6677
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Fax | 212-430-6678
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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 | F338297-1
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License Number State | NY
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