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General NPI Number Information
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NPI Number | 1972582435
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Entity Type | Individual
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Provider Name | LEE C LANEY JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 1622 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483
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Country | US
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Telephone | 330-399-7215
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Fax | 330-399-2411
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Provider Business Mailing Address
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Address Line | 2701 NW HIGHWAY 101 APT 28
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City | LINCOLN CITY
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State | OR
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Zip | 97367-4450
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Country | US
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Telephone | 765-271-1744
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Fax | 541-418-5431
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4301046119
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License Number State | MI
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