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General NPI Number Information
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NPI Number | 1659282192
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Entity Type | Individual
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Provider Name | TANYA RANAE LAWRENCE
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 2507 NORTHVIEW DR
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City | SACRAMENTO
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State | CA
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Zip | 95833-2129
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Country | US
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Telephone | 270-200-4077
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Fax | 270-238-6320
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Provider Business Mailing Address
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Address Line | 2507 NORTHVIEW DR
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City | SACRAMENTO
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State | CA
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Zip | 95833-2129
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Country | US
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Telephone | 270-200-4077
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Fax | 270-238-6320
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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 | 246R00000X
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Taxonomy Name | Pathology Technician
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License Number | CPT-02340094
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License Number State | CA
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