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General NPI Number Information
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NPI Number | 1750155560
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Entity Type | Organization
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Legal Business Name | ELCG MEDICAL LLC
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 6 NORTHWESTERN DR STE 305
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City | BLOOMFIELD
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State | CT
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Zip | 06002-3428
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Country | US
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Telephone | 917-837-9215
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Fax |
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Provider Business Mailing Address
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Address Line | 4 RIDGEBURY RD
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City | AVON
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State | CT
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Zip | 06001-3825
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Country | US
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Telephone | 917-837-9215
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. ERICA HOPE LAMBERT
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Credential | MD
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Telephone | 917-837-9215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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