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General NPI Number Information
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NPI Number | 1609134006
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Entity Type | Individual
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Provider Name | VICTORIA M LAINE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 3269 N STOCKTON HILL RD
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City | KINGMAN
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State | AZ
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Zip | 86409-3619
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Country | US
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Telephone | 928-757-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 W HORIZON RIDGE PKWY STE R204
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City | HENDERSON
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State | NV
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Zip | 89012-3600
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Country | US
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Telephone | 702-890-0292
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Fax | 702-879-2891
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.150125
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MED-PHYS-LIC-77214
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E-9725
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 17435
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A131124
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 26799
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License Number State | MS
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 92635
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License Number State | SC
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 31865
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License Number State | NE
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 17435
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.38354
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License Number State | AL
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Taxonomy #11
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-46354
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License Number State | IA
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Taxonomy #12
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036150125
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License Number State | IL
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