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General NPI Number Information
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NPI Number | 1619131604
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Entity Type | Individual
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Provider Name | LANA SHIKHMAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 185 QUEEN CITY AVE
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City | MANCHESTER
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State | NH
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Zip | 03101-7121
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Country | US
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Telephone | 603-668-3067
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Fax |
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Provider Business Mailing Address
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Address Line | 185 QUEEN CITY AVE
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City | MANCHESTER
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State | NH
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Zip | 03101-7121
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Country | US
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Telephone | 603-668-3067
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MT193952
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 254908
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 254908
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 16735
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License Number State | NH
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