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General NPI Number Information
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NPI Number | 1730321621
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Entity Type | Individual
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Provider Name | KATHERINE ANNE LANE FNP
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Gender | Female
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 301 E PRICE AVE STE A
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City | SAVANNAH
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State | MO
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Zip | 64485-2482
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Country | US
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Telephone | 816-432-0006
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Fax | 816-432-0008
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Provider Business Mailing Address
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Address Line | 301 E PRICE AVE STE A
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City | SAVANNAH
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State | MO
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Zip | 64485-2482
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Country | US
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Telephone | 816-432-0006
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Fax | 816-432-0008
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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 | 2007003411
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License Number State | MO
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