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General NPI Number Information
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NPI Number | 1467166488
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Entity Type | Organization
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Legal Business Name | LANCASTER PRIMARY CARE LLC
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 315 W JAMES ST STE 103A
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City | LANCASTER
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State | PA
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Zip | 17603-2979
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Country | US
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Telephone | 717-869-6710
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Fax | 717-326-1395
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Provider Business Mailing Address
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Address Line | 315 W JAMES ST STE 103A
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City | LANCASTER
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State | PA
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Zip | 17603-2979
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Country | US
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Telephone | 717-869-6710
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Fax | 717-326-1395
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Authorized Official
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Title or Position | PARTNER
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Name | TITUS LEITORO
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Credential | NP
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Telephone | 717-869-6710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) 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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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