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General NPI Number Information
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NPI Number | 1306990940
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Entity Type | Organization
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Legal Business Name | LAILA ATTAR, M.D. LLC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 66 HOLLIS ST
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City | PEPPERELL
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State | MA
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Zip | 01463-1432
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Country | US
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Telephone | 978-433-0517
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Fax | 978-433-8037
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Provider Business Mailing Address
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Address Line | 66 HOLLIS ST P.O. BOX 1369
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City | PEPPERELL
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State | MA
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Zip | 01463-1432
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Country | US
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Telephone | 978-433-0517
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Fax | 978-433-8037
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAILA ATTAR
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Credential | M.D.
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Telephone | 978-433-0517
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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 | 218810
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License Number State | MA
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