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General NPI Number Information
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NPI Number | 1609036581
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Entity Type | Individual
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Provider Name | KAREN DIANE LANE-GARLAND M. A.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 11352 CHISOLM WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-1128
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Country | US
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Telephone | 561-213-0120
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Fax | 561-483-5890
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Provider Business Mailing Address
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Address Line | 7301A W PALMETTO PARK RD SUITE 304-B
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City | BOCA RATON
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State | FL
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Zip | 33433-3409
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Country | US
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Telephone | 561-213-0120
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Fax | 561-483-5890
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | SS0000729
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License Number State | FL
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