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General NPI Number Information
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NPI Number | 1720059843
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Entity Type | Individual
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Provider Name | ERIC ALAN LAVERY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 6710 OXON HILL RD STE 250
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City | OXON HILL
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State | MD
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Zip | 20745-1117
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Country | US
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Telephone | 301-292-7270
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Fax | 301-203-8248
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Provider Business Mailing Address
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Address Line | 24035 THREE NOTCH RD
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City | HOLLYWOOD
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State | MD
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Zip | 20636-4871
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Country | US
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Telephone | 301-373-7900
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Fax | 301-373-6900
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01053525A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D89500
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License Number State | MD
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