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General NPI Number Information
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NPI Number | 1750953360
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Entity Type | Individual
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Provider Name | LANA RAE ROYER FNP
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Gender | Female
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 3761 MASSILLON RD
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City | UNIONTOWN
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State | OH
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Zip | 44685-7730
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Country | US
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Telephone | 330-899-9085
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Fax |
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Provider Business Mailing Address
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Address Line | 3761 MASSILLON RD
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City | UNIONTOWN
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State | OH
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Zip | 44685-7730
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Country | US
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Telephone | 330-899-9085
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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 | F06210051
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0029069
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License Number State | OH
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