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General NPI Number Information
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NPI Number | 1497220826
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Entity Type | Individual
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Provider Name | CHARLOTTE LANPHEAR
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Gender | Female
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1447 YORK RD STE 102
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6017
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Country | US
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Telephone | 667-214-1171
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Fax | 410-337-5107
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Provider Business Mailing Address
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Address Line | 6071 OTTERBEIN LN APT 201
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-7603
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Country | US
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Telephone | 410-652-8170
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C06986
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License Number State | MD
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