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General NPI Number Information
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NPI Number | 1427380351
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Entity Type | Individual
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Provider Name | MELANIE LANE KEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 920 NOBLES FERRY RD
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City | LIVE OAK
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State | FL
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Zip | 32064-8463
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Country | US
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Telephone | 352-374-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 SW 13TH ST
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City | GAINESVILLE
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State | FL
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Zip | 32608-4006
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Country | US
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Telephone | 352-374-5600
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Fax | 352-244-2741
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN290022
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2900922
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 2900922
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License Number State | FL
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