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NPI 1104831973

NPI 1104831973 : LEE B. ELBER D.O. : TAUNTON, MA

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General NPI Number Information
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    NPI Number           |    1104831973
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    Entity Type          |    Individual 
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    Provider Name        |    LEE B. ELBER D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/30/2006
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    Last Update Date     |    07/09/2025
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Provider Practice Location Address
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    Address Line         |    2005 BAY ST STE 201 
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    City                 |    TAUNTON
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    State                |    MA
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    Zip                  |    02780-1085
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    Country              |    US
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    Telephone            |    508-822-2266
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    Fax                  |    508-823-5689
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Provider Business Mailing Address
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    Address Line         |    PO BOX 95000 LB# 7550 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19195-7550
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    Country              |    US
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    Telephone            |    844-362-1735
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    Fax                  |    973-290-7495
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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       |    25MB06839300
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    1018814
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    License Number State |    MA
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