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General NPI Number Information
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NPI Number | 1306235130
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Entity Type | Organization
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Legal Business Name | DAVID LANS, DO PLLC
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 2900 WESTCHESTER AVE 3RD FLOORNY
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City | PURCHASE
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State | NY
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Zip | 10577-2552
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Country | US
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Telephone | 914-235-5577
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Fax | 914-235-7708
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Provider Business Mailing Address
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Address Line | 2900 WESTCHESTER AVE 3RD FLOORNY
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City | PURCHASE
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State | NY
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Zip | 10577-2552
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Country | US
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Telephone | 914-235-5577
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Fax | 914-235-7708
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Authorized Official
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Title or Position | DIRECTOR
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Name | DAVID LANS
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Credential | DO
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Telephone | 914-235-5577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 149715
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License Number State | NY
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