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General NPI Number Information
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NPI Number | 1750369138
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Entity Type | Individual
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Provider Name | ROBERT DOUGLAS LAMPORT MD
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Gender | Male
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3130 N COUNTY ROAD 25A STE 109
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City | TROY
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State | OH
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Zip | 45373-1337
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Country | US
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Telephone | 937-440-9292
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Fax | 937-440-4227
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Provider Business Mailing Address
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Address Line | 17901 BIMINI ISLE CT
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City | TAMPA
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State | FL
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Zip | 33647-2722
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Country | US
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Telephone | 863-680-7000
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Fax | 866-264-8519
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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 | ME68610
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License Number State | FL
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