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General NPI Number Information
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NPI Number | 1548592959
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Entity Type | Individual
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Provider Name | RAYMOND FRANK LAZZARA RPH
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Gender | Male
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 346 BLEECKER ST
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City | NEW YORK
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State | NY
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Zip | 10014-2980
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Country | US
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Telephone | 212-807-7566
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Fax |
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Provider Business Mailing Address
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Address Line | 1 DIAMOND CT
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City | FRANKLIN PARK
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State | NJ
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Zip | 08823-1604
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Country | US
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Telephone | 732-297-3954
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 034807
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License Number State | NY
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