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General NPI Number Information
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NPI Number | 1609752013
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Entity Type | Individual
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Provider Name | LANE ROGERS MHC-LP
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 280 MADISON AVE RM 210
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City | NEW YORK
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State | NY
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Zip | 10016-0816
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Country | US
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Telephone | 646-389-5801
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Fax |
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Provider Business Mailing Address
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Address Line | 301 E 22ND ST APT 5E
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City | NEW YORK
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State | NY
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Zip | 10010-4824
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Country | US
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Telephone | 203-979-0512
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P137546
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License Number State | NY
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