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General NPI Number Information
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NPI Number | 1710776588
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Entity Type | Individual
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Provider Name | BILLIE JUNE LANHAM FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 1013 PENNSYLVANIA AVE STE E
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City | OTTUMWA
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State | IA
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Zip | 52501-2110
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Country | US
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Telephone | 641-684-2300
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Fax | 641-684-3209
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Provider Business Mailing Address
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Address Line | 12384 LANHAM LN
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City | GLENWOOD
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State | MO
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Zip | 63541-1100
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Country | US
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Telephone | 660-341-1647
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A183772
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License Number State | IA
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