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General NPI Number Information
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NPI Number | 1396900288
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Entity Type | Individual
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Provider Name | RONALD BUREN LANEY JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 1123 N CHURCH ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1007
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Country | US
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Telephone | 336-832-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 1234 HUFFMAN MILL ROAD
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-538-1234
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Fax | 336-584-6811
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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 | 148869
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2011-01221
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License Number State | NC
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