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General NPI Number Information
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NPI Number | 1992056477
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Entity Type | Individual
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Provider Name | JENNIFER FRANEL LANE DVM
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Gender | Female
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 06/26/2014
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Provider Practice Location Address
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Address Line | 4455 MARINER RD
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-3964
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Country | US
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Telephone | 254-541-3292
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1439
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City | LABELLE
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State | FL
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Zip | 33975-1439
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Country | US
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Telephone | 254-541-3292
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 000007114
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 16485
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 0301200575
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | VM12678
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License Number State | FL
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