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General NPI Number Information
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NPI Number | 1467435321
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Entity Type | Individual
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Provider Name | NANCY E. LANE M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 4800 2ND AVE
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City | SACRAMENTO
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State | CA
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Zip | 95817-2216
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Country | US
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Telephone | 916-734-0758
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Fax | 916-734-4773
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Provider Business Mailing Address
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Address Line | 1060 BARROILHET DR
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City | HILLSBOROUGH
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State | CA
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Zip | 94010-6521
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Country | US
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Telephone | 650-347-8100
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Fax | 916-734-4773
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G045856
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License Number State | CA
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