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General NPI Number Information
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NPI Number | 1295943595
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Entity Type | Individual
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Provider Name | THOMAS JOACHIM LANEY D.D.S. , M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1308 S PIONEER WAY
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City | MOSES LAKE
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State | WA
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Zip | 98837-2410
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Country | US
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Telephone | 509-765-5141
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Fax | 509-765-5891
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Provider Business Mailing Address
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Address Line | 1308 S PIONEER WAY
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City | MOSES LAKE
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State | WA
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Zip | 98837-2410
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Country | US
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Telephone | 509-765-5141
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Fax | 509-765-5891
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DE00005663
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | MD00024468
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License Number State | WA
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