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General NPI Number Information
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NPI Number | 1558334862
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Entity Type | Individual
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Provider Name | ERIC L LAZAR MD
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 140 E RIDGEWOOD AVE STE 570
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City | PARAMUS
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State | NJ
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Zip | 07652-3917
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Country | US
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Telephone | 202-389-0567
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Fax |
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Provider Business Mailing Address
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Address Line | 140 E RIDGEWOOD AVE STE 570
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City | PARAMUS
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State | NJ
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Zip | 07652-3917
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Country | US
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Telephone | 202-389-0567
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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 | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 25MA07674300
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License Number State | NJ
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