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General NPI Number Information
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NPI Number | 1578755120
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Entity Type | Individual
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Provider Name | TIMOTHY ALBERT LANCASTER MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1551 E TANGERINE RD
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City | ORO VALLEY
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State | AZ
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Zip | 85755-6213
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Country | US
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Telephone | 520-901-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 100 ROUTE 59 STE 103A
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City | SUFFERN
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State | NY
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Zip | 10901-4929
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Country | US
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Telephone | 845-368-4800
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Fax | 845-369-1697
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA08257900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 75204
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 245348
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License Number State | NY
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