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General NPI Number Information
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NPI Number | 1356403257
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Entity Type | Individual
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Provider Name | HEATHER LANE DNP
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 748 ORANGEBURG RD
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City | SUMMERVILLE
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State | SC
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Zip | 29483-8934
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Country | US
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Telephone | 843-557-5335
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Fax |
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Provider Business Mailing Address
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Address Line | 748 ORANGEBURG RD
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City | SUMMERVILLE
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State | SC
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Zip | 29483-8934
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Country | US
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Telephone | 843-557-5335
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APN1542RX
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP2061
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License Number State | AZ
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