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General NPI Number Information
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NPI Number | 1679943898
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Entity Type | Organization
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Legal Business Name | DR LANCASTER & ASSOCIATES PA
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 1349 S INTERNATIONAL PKWY SUITE 1441
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City | LAKE MARY
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State | FL
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Zip | 32746-1697
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Country | US
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Telephone | 321-368-8538
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Fax |
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Provider Business Mailing Address
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Address Line | 1349 S INTERNATIONAL PKWY SUITE 1441
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City | LAKE MARY
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State | FL
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Zip | 32746-1697
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Country | US
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Telephone | 321-368-8538
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. EDWARD ELI LANCASTER III
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Credential | DMD
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Telephone | 321-368-8538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 20360
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License Number State | FL
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