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General NPI Number Information
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NPI Number | 1104000876
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Entity Type | Organization
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Legal Business Name | DR. BARRY S. LERNER
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 453 ROUTE 211 E
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2206
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Country | US
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Telephone | 845-343-7500
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Fax | 845-343-0155
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Provider Business Mailing Address
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Address Line | 453 ROUTE 211 E
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2206
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Country | US
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Telephone | 845-343-7500
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Fax | 845-343-0155
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. BARRY STEVEN LERNER
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Credential | DPM
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Telephone | 845-343-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N03054
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License Number State | NY
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