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General NPI Number Information
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NPI Number | 1083902324
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Entity Type | Individual
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Provider Name | ALEXANDER R LAMPONE MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2011
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 15332 ANTIOCH ST #459
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-3628
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Country | US
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Telephone | 310-742-3500
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Fax | 800-610-2574
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Provider Business Mailing Address
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Address Line | PO BOX 367
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-0367
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Country | US
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Telephone | 310-990-9082
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Fax | 213-788-4886
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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 | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | G25058
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G25058
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G25058
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number | G25058
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License Number State | CA
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