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General NPI Number Information
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NPI Number | 1841333028
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Entity Type | Individual
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Provider Name | SUSAN LANE MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 501 N WYMORE RD
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City | WINTER PARK
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State | FL
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Zip | 32789-2808
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Country | US
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Telephone | 407-975-2565
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Fax |
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Provider Business Mailing Address
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Address Line | 2630 HARRISON AVE
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City | ORLANDO
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State | FL
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Zip | 32804-4441
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Country | US
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Telephone | 407-492-6433
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT 2121
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License Number State | FL
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