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General NPI Number Information
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NPI Number | 1841200466
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Entity Type | Individual
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Provider Name | LANA L LONG MD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 1 WEST 4TH STREET SUITE 2200
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City | CINCINNATI
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State | OH
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Zip | 45202
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Country | US
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Telephone | 513-421-3376
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Fax | 513-618-2128
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Provider Business Mailing Address
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Address Line | 1 WEST 4TH STREET SUITE 2200
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City | CINCINNATI
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State | OH
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Zip | 45202
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Country | US
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Telephone | 513-421-3376
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Fax | 513-618-2128
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 35-068727
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 31630
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 35.068727
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License Number State | OH
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