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General NPI Number Information
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NPI Number | 1548222755
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Entity Type | Individual
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Provider Name | REBECCA M LANCASTER P.A.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 101 E 2ND STREET
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City | KENLY
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State | NC
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Zip | 27542
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Country | US
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Telephone | 919-284-4025
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Fax | 919-284-5965
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Provider Business Mailing Address
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Address Line | PO BOX 275
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City | KENLY
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State | NC
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Zip | 27542-0275
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Country | US
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Telephone | 919-284-4025
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Fax | 919-284-5965
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 103808
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License Number State | NC
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