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General NPI Number Information
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NPI Number | 1174537195
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Entity Type | Individual
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Provider Name | EMILY ELIZABETH LAZAROU MD,RD,LD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 410 PIERCE ST SUITE 103
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City | HOUSTON
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State | TX
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Zip | 77002-8646
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Country | US
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Telephone | 813-494-5922
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1107
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City | ODESSA
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State | FL
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Zip | 33556-1044
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Country | US
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Telephone | 813-494-5922
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | N0202
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME90118
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20990
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License Number State | MS
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