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General NPI Number Information
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NPI Number | 1063776102
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Entity Type | Individual
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Provider Name | NICHOLAS DAVID LANCASTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 11005 BURNET RD STE 120
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City | AUSTIN
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State | TX
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Zip | 78758-4440
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Country | US
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Telephone | 512-596-2020
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Fax | 512-596-3937
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Provider Business Mailing Address
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Address Line | 3025 112TH AVE NE STE 200
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City | BELLEVUE
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State | WA
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Zip | 98004-8002
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Country | US
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Telephone | 512-596-2020
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Fax | 512-596-3937
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036.147341
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 230-320
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 17365
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD.MD.60854412
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 57249
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 27903
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License Number State | NE
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Taxonomy #7
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | M-13902
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License Number State | ID
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Taxonomy #8
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 290484
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 10464347
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License Number State | UT
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Taxonomy #10
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 11125
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License Number State | SD
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Taxonomy #11
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD22573
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License Number State | ME
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Taxonomy #12
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | CDR.0000194
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License Number State | CO
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Taxonomy #13
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD-45561
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License Number State | IA
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Taxonomy #14
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 26137
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License Number State | MS
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Taxonomy #15
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | R1067
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License Number State | TX
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