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General NPI Number Information
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NPI Number | 1316985807
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Entity Type | Organization
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Legal Business Name | LGH CANCERCARE ASSOCIATES INC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 295 VARNUM AVE
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City | LOWELL
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State | MA
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Zip | 01854-2134
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Country | US
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Telephone | 978-937-6650
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Fax | 978-937-6890
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Provider Business Mailing Address
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Address Line | PO BOX 2200
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City | AMHERST
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State | NH
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Zip | 03031-4200
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Country | US
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Telephone | 603-673-9411
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Fax | 603-673-9899
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Authorized Official
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Title or Position | C.F.O.
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Name | RICHARD JEFFCOTE
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Credential |
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Telephone | 978-937-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State |
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