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General NPI Number Information
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NPI Number | 1083154934
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Entity Type | Individual
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Provider Name | STEPHEN LAMPROU D.O
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Gender | Male
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Dates
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Enumeration Date | 02/26/2017
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 1401 ATLANTIC AVE STE 2600
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-7001
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Country | US
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Telephone | 609-572-6055
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Fax | 609-572-6033
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Provider Business Mailing Address
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Address Line | 300 TAVISTOCK
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City | CHERRY HILL
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State | NJ
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Zip | 08034-4020
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Country | US
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Telephone | 856-296-4450
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB10755000
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License Number State | NJ
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