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General NPI Number Information
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NPI Number | 1295817955
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Entity Type | Individual
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Provider Name | ELAINE LOMBARDI WILK DO
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 1101 NOTT ST DEPARTMENT OF EMERGENCY
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City | SCHENECTADY
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State | NY
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Zip | 12308-2425
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Country | US
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Telephone | 518-243-4121
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Fax |
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Provider Business Mailing Address
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Address Line | 1462 ERIE BLVD ATTN: THE MEDICAL GROUP
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City | SCHENECTADY
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State | NY
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Zip | 12305-1026
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Country | US
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Telephone | 518-243-1020
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Fax | 518-243-1021
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 179150-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | DO00812
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License Number State | RI
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