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General NPI Number Information
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NPI Number | 1972654655
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Entity Type | Organization
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Legal Business Name | LANE AND ASSOCIATES VII, DDS PA
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 102 SOUTH MAIN ST. BOX 2227
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City | LILLINGTON
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State | NC
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Zip | 27546
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Country | US
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Telephone | 910-893-1096
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Fax | 910-814-1559
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Provider Business Mailing Address
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Address Line | 102 SOUTH MAIN ST. PO BOX 2227
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City | LILLINGTON
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State | NC
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Zip | 27546
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Country | US
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Telephone | 910-893-1096
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Fax | 910-814-1559
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Authorized Official
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Title or Position | COMPTROLLER
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Name | MRS. TAMMY MORAN
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Credential |
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Telephone | 910-814-2944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4785
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License Number State | NC
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