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General NPI Number Information
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NPI Number | 1609765502
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Entity Type | Individual
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Provider Name | LANEY WHITEAKER
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 710 CENTER ST
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City | COLUMBUS
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State | GA
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Zip | 31901-1527
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Country | US
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Telephone | 706-571-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 6220 CRICKET LN
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City | COLUMBUS
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State | GA
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Zip | 31909-3920
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Country | US
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Telephone | 706-330-4330
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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 | 246QM0706X
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Taxonomy Name | Medical Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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