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General NPI Number Information
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NPI Number | 1487284840
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Entity Type | Individual
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Provider Name | DALANA DAWN LANE NP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 217 S INDEPENDENCE AVE
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City | INDEPENDENCE
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State | VA
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Zip | 24348-2802
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Country | US
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Telephone | 276-773-2063
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Fax | 855-407-5619
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Provider Business Mailing Address
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Address Line | 217 S INDEPENDENCE AVE
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City | INDEPENDENCE
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State | VA
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Zip | 24348-2802
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Country | US
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Telephone | 276-773-2063
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Fax | 855-407-5619
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5015310
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GAA-NP000892
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5015310
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024178742
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License Number State | VA
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