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General NPI Number Information
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NPI Number | 1811292659
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Entity Type | Individual
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Provider Name | BELINDA M LANEY CNP
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Gender | Female
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Dates
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Enumeration Date | 01/25/2011
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 442 WEST HIGH STREET
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City | BRYAN
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State | OH
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Zip | 43506
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Country | US
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Telephone | 419-636-4517
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Fax | 419-636-2409
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Provider Business Mailing Address
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Address Line | 11109 PARKVIEW PLAZA DR # 117
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City | FORT WAYNE
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State | IN
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Zip | 46845-1701
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.12126
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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.12126
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License Number State | OH
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