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General NPI Number Information
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NPI Number | 1366467953
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Entity Type | Individual
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Provider Name | OLIVIA LANNA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 03/25/2020
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Provider Practice Location Address
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Address Line | 350 LINCOLN ST STE 1102
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City | HINGHAM
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State | MA
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Zip | 02043-1578
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Country | US
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Telephone | 781-987-3388
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Fax | 781-740-0200
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Provider Business Mailing Address
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Address Line | 107 HALSTED DR
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City | HINGHAM
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State | MA
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Zip | 02043-1661
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Country | US
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Telephone | 781-987-3388
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Fax | 781-740-0200
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 89292
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 6728
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 56882
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 03530
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 56882
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License Number State | MA
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