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General NPI Number Information
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NPI Number | 1265176622
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Entity Type | Individual
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Provider Name | LANE SIMONS
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Gender | Male
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 4001 STATE HIGHWAY 104
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City | IONE
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State | CA
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Zip | 95640
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Country | US
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Telephone | 530-312-2014
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Fax |
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Provider Business Mailing Address
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Address Line | 9114 VISTA DOME CT
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City | FAIR OAKS
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State | CA
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Zip | 95628-4185
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Country | US
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Telephone | 530-312-2014
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 107198
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License Number State | CA
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