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General NPI Number Information
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NPI Number | 1780878728
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF LANCASTER
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 1500 E MAIN ST
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-654-3700
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Fax | 740-654-8817
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Provider Business Mailing Address
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Address Line | 1500 E MAIN
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-654-3700
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Fax | 740-654-8817
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID JOE DUNBAR
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Credential | MD
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Telephone | 740-654-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35045854
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35056739
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License Number State | OH
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