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General NPI Number Information
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NPI Number | 1528483732
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Entity Type | Individual
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Provider Name | STEVEN JOSEPH LANNERS CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/25/2014
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Last Update Date | 06/06/2019
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Provider Practice Location Address
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Address Line | 650 69TH AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-6246
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Country | US
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Telephone | 708-829-3591
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Fax |
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Provider Business Mailing Address
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Address Line | 7548 AGUILA DR
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City | SARASOTA
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State | FL
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Zip | 34240-1471
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Country | US
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Telephone | 708-829-3591
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN9307851
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN9307851
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License Number State | FL
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