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General NPI Number Information
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NPI Number | 1639292840
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Entity Type | Organization
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Legal Business Name | LANE B PRIOR, DDS, PA
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 1515 N FLAGLER DR STE 520
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3428
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Country | US
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Telephone | 561-655-8066
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Fax | 561-655-2880
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Provider Business Mailing Address
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Address Line | 1515 N FLAGLER DR STE 520
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3428
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Country | US
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Telephone | 561-655-8066
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Fax | 561-655-2880
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LANE B PRIOR
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Credential | DDS
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Telephone | 561-655-8066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN7395
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License Number State | FL
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