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General NPI Number Information
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NPI Number | 1053010694
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Entity Type | Organization
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Legal Business Name | IGC III PLLC
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 41 WELLMAN ST STE 400
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City | LOWELL
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State | MA
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Zip | 01851-5161
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Country | US
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Telephone | 978-459-6737
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Fax | 855-818-1869
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Provider Business Mailing Address
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Address Line | 41 WELLMAN ST STE 400
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City | LOWELL
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State | MA
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Zip | 01851-5161
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Country | US
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Telephone | 978-459-6737
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Fax | 855-818-1869
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Authorized Official
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Title or Position | CXO
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Name | KELLY LAMBRESE
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Credential |
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Telephone | 401-359-2300
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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 |
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License Number State |
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