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General NPI Number Information
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NPI Number | 1396748083
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Entity Type | Individual
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Provider Name | PAUL LAZAR DPM
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 1317 3RD AVENUE 3RD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021-4256
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Country | US
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Telephone | 212-996-1400
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Fax | 212-535-8606
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Provider Business Mailing Address
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Address Line | 1317 3RD AVE FL 3
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City | NEW YORK
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State | NY
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Zip | 10021-2952
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Country | US
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Telephone | 212-996-1400
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Fax | 212-535-8606
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N005355-1
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License Number State | NY
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