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General NPI Number Information
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NPI Number | 1841156908
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Entity Type | Organization
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Legal Business Name | TOVA LANE LLC
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Dates
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Enumeration Date | 01/01/2026
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 5840 SW 57TH WAY
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City | DAVIE
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State | FL
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Zip | 33314-7478
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Country | US
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Telephone | 302-219-4944
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Fax |
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Provider Business Mailing Address
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Address Line | 8 THE GRN STE A
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City | DOVER
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State | DE
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Zip | 19901-3618
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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 | DIRECTOR
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Name | TOVA LANE
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Credential |
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Telephone | 845-445-8682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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