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General NPI Number Information
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NPI Number | 1659475911
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Entity Type | Individual
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Provider Name | AMY MICHELLE LANE APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 19409 PLANTATION RD, STE 4
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-4413
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Country | US
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Telephone | 302-224-1400
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Fax | 302-224-1402
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Provider Business Mailing Address
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Address Line | 19409 PLANTATION RD UNIT 4
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-4493
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Country | US
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Telephone | 302-224-1400
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0010941
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 002158
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 002158
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 002158
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License Number State | CT
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