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General NPI Number Information
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NPI Number | 1457364382
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Entity Type | Individual
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Provider Name | CANDACE S LAPIDUS MD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 5 SPINNAKER DR
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City | BARRINGTON
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State | RI
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Zip | 02806-2831
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Country | US
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Telephone | 401-499-4999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | BARRINGTON
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State | RI
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Zip | 02806-0247
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Country | US
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Telephone | 401-499-4999
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Fax |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 10201
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License Number State | RI
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