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General NPI Number Information
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NPI Number | 1316972177
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Entity Type | Individual
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Provider Name | CHERYL EWING LANEY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/05/2009
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Provider Practice Location Address
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Address Line | 30 WASHINGTON AVE STE F
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City | HADDONFIELD
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State | NJ
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Zip | 08033-3341
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Country | US
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Telephone | 856-354-9423
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Fax | 856-427-9964
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Provider Business Mailing Address
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Address Line | 30 WASHINGTON AVE STE F
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City | HADDONFIELD
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State | NJ
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Zip | 08033-3341
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Country | US
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Telephone | 856-354-9423
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Fax | 856-427-9964
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1905
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License Number State | NJ
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