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General NPI Number Information
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NPI Number | 1992221881
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Entity Type | Organization
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Legal Business Name | THOMAS LANE INC
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 08/22/2017
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Provider Practice Location Address
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Address Line | 2071 MIDWAY DR
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City | TWINSBURG
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State | OH
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Zip | 44087-1933
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Country | US
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Telephone | 440-580-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 2071 MIDWAY DR
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City | TWINSBURG
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State | OH
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Zip | 44087-1933
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | TROY HALL
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Credential |
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Telephone | 440-580-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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