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General NPI Number Information
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NPI Number | 1992385876
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Entity Type | Individual
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Provider Name | SARAH LANE RN
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Gender | Female
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 10101 FOREST HILL BLVD
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City | WELLINGTON
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State | FL
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Zip | 33414-6103
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Country | US
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Telephone | 352-514-2216
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Fax |
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Provider Business Mailing Address
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Address Line | 16227 ORCHARD DR
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City | WESTLAKE
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State | FL
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Zip | 33470-7044
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Country | US
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Telephone | 352-514-2216
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209035942
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11026321
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License Number State | FL
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