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General NPI Number Information
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NPI Number | 1811710197
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Entity Type | Organization
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Legal Business Name | ENDOCRINOLOGY OF LANCASTER LLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 2405 N COLUMBUS ST STE 110
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City | LANCASTER
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State | OH
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Zip | 43130-8189
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Country | US
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Telephone | 740-689-6790
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 N COLUMBUS ST STE 110
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City | LANCASTER
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State | OH
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Zip | 43130-8189
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Country | US
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Telephone | 740-689-6790
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Fax |
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Authorized Official
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Title or Position | MD
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Name | ASSEM HOUSSEIN
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Credential | MD
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Telephone | 614-560-7974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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