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General NPI Number Information
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NPI Number | 1336275288
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Entity Type | Individual
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Provider Name | ROBERT GEORGE LAHITA MD, PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 02/13/2020
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Provider Practice Location Address
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Address Line | 234 HAMBURG TPKE
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City | WAYNE
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State | NJ
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Zip | 07470-2173
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Country | US
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Telephone | 973-754-4175
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Fax | 973-389-6031
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Provider Business Mailing Address
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Address Line | 703 MAIN ST
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City | PATERSON
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State | NJ
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Zip | 07503-2621
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Country | US
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Telephone | 973-754-2476
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Fax | 973-754-5475
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 25MA04908500
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License Number State | NJ
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